Organization
SLEEP DISORDER CENTER OF WYOMING VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT POTORSKI M.D. (PRESIDENT)
(570) 288-5441
Entity
Organization
Contact information
Practice address
1065 HIGHWAY 315, SUITE 202, WILKES BARRE, PA 18702-6941
(570) 829-6900
(570) 829-0122
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD034081E
PA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
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Other
Enumeration date
08/29/2006
Last updated
03/12/2008
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