Organization
PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY HERRING (CREDENTIALING/BILLING)
(732) 492-7490
Entity
Organization
Contact information
Practice address
628 SHREWSBURY AVENUE, TINTON FALLS, NJ 07727
(732) 241-6242
Mailing address
628 SHREWSBURY AVE, TINTON FALLS, NJ 07727
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
25MA06861200
NJ
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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