Organization
NOVASOM INC.
Active
Parent organization
NOVASOM INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVASOM INC.
Authorized official
MR. GREGORY JOHN STOKES (PRESIDENT & COO)
(410) 590-0443
Entity
Organization
Contact information
Practice address
801 CROMWELL PARK DRIVE,, SUITE 108, GLEN BURNIE, MD 21061
(410) 590-0443
(410) 590-4403
Mailing address
801 CROMWELL PARK DRIVE,, SUITE 108, GLEN BURNIE, MD 21061
(410) 590-0443
(410) 590-4403
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144987A
—
GA
05
—
11051200
—
FL
05
—
1533877
—
TN
05
—
201192900
—
IN
05
—
421865500
—
MD
Enumeration date
07/08/2005
Last updated
11/04/2014
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