Organization
DIGITRACE CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL IBERGER (EVP/CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1110 PROFESSIONAL CT, SUITE 103-A, HAGERSTOWN, MD 21740-5826
(978) 536-7400
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85970001
CARE FIRST
VA
01
—
85970002
CARE FIRST
VA
01
—
85TZDI
CAREFIRST
MD
Enumeration date
06/04/2008
Last updated
06/27/2014
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