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Organization

ALLIANCE HEALTHCARE SYSTEMS, LLC

Active
Other names
Northeast Sleep Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAOUL BINIAURISHVILI M.D. (MEDICAL DIRECTOR)
(215) 673-9260
Entity
Organization

Contact information

Practice address
9924 E. ROOSEVELT BLVD., PHILADELPHIA, PA 19115
(215) 673-9260
Mailing address
9924 E. ROOSEVELT BLVD., PHILADELPHIA, PA 19115
(215) 673-9260

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
261QS1200X
Sleep Disorder Diagnostic Clinic/Center

Other

Enumeration date
10/01/2009
Last updated
09/08/2010
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