Organization
CARDIO SLEEP SOLUTIONS WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI WEISFOGEL DDS (PRESIDENT)
(732) 261-2859
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 215, WAUKESHA, WI 53188-3417
(262) 754-0112
Mailing address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20783
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
DI20783
NJ
Other
Enumeration date
11/22/2010
Last updated
04/05/2011
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