Organization
ANNAPOLIS SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH SHAKLEE (PRACTICE ADMINISTRATOR)
(410) 266-1644
Entity
Organization
Contact information
Practice address
2451 RIVA RD, ANNAPOLIS, MD 21401
(410) 266-1644
(410) 266-1642
Mailing address
2000 MEDICAL PKWY STE 607, ANNAPOLIS, MD 21401-3748
(410) 266-1644
(410) 266-1642
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
D0035494
MD
Other
Enumeration date
02/02/2018
Last updated
06/26/2018
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