Organization
CENTER FOR SLEEP MEDICINE, PC
Active
Other names
Center for Sleep Medicine, Center for Sleep Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNE FRY M.D (OWNER)
(267) 339-6462
Entity
Organization
Contact information
Practice address
8835 GERMANTOWN AVE, 2ND FLOOR, PHILADELPHIA, PA 19118-2718
(267) 339-6462
(215) 248-0696
Mailing address
8835 GERMANTOWN AVE, 2ND FLOOR, PHILADELPHIA, PA 19118-2718
(267) 339-6462
(215) 248-0696
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080718606
—
PA
05
—
1021711530001
—
PA
Enumeration date
10/28/2016
Last updated
09/14/2017
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