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Organization

EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WILLARD CROMER JR. MD (PARTNER)
(910) 686-3716
Entity
Organization

Contact information

Practice address
7491-B MARKET STREET, WILMINGTON, NC 28411-9454
(910) 686-3716
(910) 686-8693
Mailing address
PO BOX 10487, WILMINGTON, NC 28404-0487
(910) 200-9932
(910) 686-4533

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2881808A
MEDICARE
NC
Enumeration date
03/03/2009
Last updated
07/15/2009
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