Organization
COASTAL SLEEP DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LEARY RT (OWNER)
(781) 740-9155
Entity
Organization
Contact information
Practice address
37 DERBY ST, HINGHAM, MA 02043-3741
(781) 740-9155
Mailing address
37 DERBY ST, HINGHAM, MA 02043-3741
(781) 740-9155
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010369
BCBS
MA
01
—
687732
TUFTS
MA
Enumeration date
01/02/2008
Last updated
06/02/2008
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