Organization
LUNG SLEEP AND CRITICAL CARE CONSULTANTS, PC
Active
Organization
LUNG SLEEP AND CRITICAL CARE CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T GLEN BOUDER MD (DIRECTOR/ACTIVE,ATTENDING)
(747) 851-6151
Entity
Organization
Contact information
Practice address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 851-2465
(717) 741-3043
Mailing address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 851-2465
(717) 741-3043
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD051542L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014367640001
25 MONUMENT RD #/DEACTIVATED AS OF 10/2008
PA
05
—
1014367640005
—
PA
Enumeration date
08/23/2005
Last updated
04/20/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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