Organization
POTOMAC VALLEY SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAY MARTIN (PRESIDENT)
(301) 697-3839
Entity
Organization
Contact information
Practice address
507 N CENTRE ST, CUMBERLAND, MD 21502-2102
(301) 724-7378
(301) 722-4787
Mailing address
507 N CENTRE ST, CUMBERLAND, MD 21502-2102
(301) 724-7378
(301) 722-4787
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
01988075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238CPO
BLUE CROSS BLUE SHIELD
MD
Enumeration date
03/14/2006
Last updated
08/18/2016
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