Organization
CENTER FOR SLEEP MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(978) 536-7400
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062471
AETNA
PA
Enumeration date
02/20/2009
Last updated
11/17/2011
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