Organization
SLEEP DISORDERS CENTER OF WYOMING VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J DELLA ROSA M.D. (PRESIDENT)
(570) 331-2651
Entity
Organization
Contact information
Practice address
190 WELLES ST, SUITE 116, FORTY FORT, PA 18704-4968
(570) 331-2651
(570) 331-2653
Mailing address
190 WELLES ST, SUITE 116, FORTY FORT, PA 18704-4968
(570) 331-2651
(570) 331-2653
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
077098
PA
Other
Enumeration date
01/13/2006
Last updated
08/22/2020
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