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Organization

COASTAL MEDICAL SLEEP DISORDERS CENTER

Active
Parent organization
COASTAL MEDICAL INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTAL MEDICAL INC.
Authorized official
MERYL MOSS (COO)
(401) 421-4000
Entity
Organization

Contact information

Practice address
450 VETERANS MEMORIAL PKWY, BLDG 9B, EAST PROVIDENCE, RI 02914-5300
(401) 438-9607
(401) 431-2555
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
02/25/2010
Last updated
02/09/2011
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