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Organization

WILKES BARRE SLEEP SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL AMORY (PRESIDENT)
(570) 208-9070
Entity
Organization

Contact information

Practice address
22 E END CTR, WILKES BARRE, PA 18702-6968
(570) 208-9070
(570) 208-9075
Mailing address
22 E END CTR, WILKES BARRE, PA 18702-6968
(570) 208-9070
(570) 208-9075

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018814760001
PA
01
1904767
BLUE SHIELD
PA
01
7807909
AETNA
PA
01
820663
FIRST PRIORITY HEALTH
PA
Enumeration date
05/15/2006
Last updated
01/04/2019
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