Organization
BJA INCORPORATED
Active
Other names
Comprehensive Sleep Disorder Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1890 N UNIVERSITY DR, SUITE 300, CORAL SPRINGS, FL 33071-8963
(954) 739-2111
Mailing address
200 CORPORATE PL, STE 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
—
198180
STAYWELL HMO
FL
01
—
2239829
AETNA HMO
FL
01
—
3237168001
CIGNA
FL
01
—
7441067
AETNA PPO AND POS
FL
01
—
V004Z
BLUE CROSS
FL
Enumeration date
08/15/2007
Last updated
07/19/2011
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