Organization
SUPREME SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEOLA GUSHWAY-HENRY (MD)
(609) 736-0090
Entity
Organization
Contact information
Practice address
155 WILLOWBROOK BLVD, WAYNE, NJ 07470-7032
(609) 736-0090
Mailing address
155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 07470-7033
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/24/2025
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