Organization
TRI STATE NEURO SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA WAHBA MD (MEDICAL DIRECTOR)
(973) 790-5300
Entity
Organization
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 790-5300
(973) 790-0900
Mailing address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 790-5300
(973) 790-0900
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
24280
NJ
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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