Organization
PRINCETON SLEEP MEDICINE GROUP, P.C.
Active
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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