Organization
MARLBOROUGH CENTER FOR SLEEP DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD GEORGE RISK M.D.,PH.D. (OWNER)
(508) 481-4288
Entity
Organization
Contact information
Practice address
320 BOLTON ST, SUITE 100, MARLBOROUGH, MA 01752-3980
(508) 481-4288
(508) 624-7228
Mailing address
320 BOLTON ST, SUITE 100, MARLBOROUGH, MA 01752-3980
(508) 481-4288
(508) 624-7228
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
47576
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65267
HARVARD PILGRIM
MA
01
—
SF038769
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/31/2007
Last updated
09/14/2010
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