Organization
BJA INCORPORATED
Active
Other names
Comprehensive Sleep Disorder Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
7005 CORTEZ RD W, 101, BRADENTON, FL 34210-2509
(978) 536-7400
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V004V
BLUE CROSS
FL
Enumeration date
12/10/2008
Last updated
07/25/2012
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