Organization
SLEEP & NEUROLOGICAL DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAFIQ UR RAHMAN M.D. (OWNER)
(570) 474-5599
Entity
Organization
Contact information
Practice address
20 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1123
(570) 474-5599
(570) 474-5499
Mailing address
PO BOX 100, MOUNTAIN TOP, PA 18707-0100
(570) 208-5530
(570) 208-5548
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
12/16/2011
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