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Organization

SLEEP LAB OF NORTHEASTERN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID P. WASHO RPSGT, RRT (ADMINISTRATIVE DIRECTOR)
(570) 585-6220
Entity
Organization

Contact information

Practice address
231 NORTHERN BLVD, SUITE 2, CLARKS SUMMIT, PA 18411-9189
(570) 585-6220
(570) 585-6234
Mailing address
231 NORTHERN BLVD, SUITE 2, CLARKS SUMMIT, PA 18411-9189
(570) 585-6220
(570) 585-6234

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
10/17/2006
Last updated
03/04/2008
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