Organization
NORTHSHORE RESPIRATORY AND SLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY F KOWALSKI (PRESIDENT)
(440) 954-9388
Entity
Organization
Contact information
Practice address
4212 STATE ROUTE 306, #110, WILLOUGHBY, OH 44094-9258
(440) 954-9388
(440) 269-1338
Mailing address
1450 SOM CENTER RD, #25, MAYFIELD HTS, OH 44124-2118
(440) 446-1423
(440) 446-1498
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
01/25/2008
Last updated
06/06/2008
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