Organization
ATLANTIC SLEEP CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA S AWAD (REGISTERED AGENT)
(732) 264-1455
Entity
Organization
Contact information
Practice address
1 BETHANY RD, BLDG 6, SUITE 81, HAZLET, NJ 07730-1663
(732) 264-1455
(732) 264-1843
Mailing address
PO BOX 384, HOLMDEL, NJ 07733-0384
(732) 264-1455
(732) 264-1843
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0400383087
NJ
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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