Organization
NEW ENGLAND SLEEP THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIGON SONG DDS (CEO)
(646) 369-6918
Entity
Organization
Contact information
Practice address
1291 BOSTON POST RD, SUITE 202, MADISON, CT 06443-3476
(203) 815-0385
Mailing address
1291 BOSTON POST RD, SUITE 202, MADISON, CT 06443-3476
(203) 815-0385
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
04/25/2012
Last updated
08/03/2012
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