Organization
PRINCETON SLEEP MEDICINE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA SUPE MD (MEDICAL DIRECTOR)
(609) 955-2576
Entity
Organization
Contact information
Practice address
1675 WHITEHORSE MERCERVILLE RD, SUITE 105, HAMILTON, NJ 08619-3825
(856) 222-9585
(856) 222-9585
Mailing address
4 LEEDS RD, MOORESTOWN, NJ 08057-1884
(609) 955-2576
(856) 222-9585
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
BS5438115
NJ
Other
Enumeration date
10/03/2012
Last updated
11/01/2012
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