| Passaic Sleep Medicine & Neurological Services Pc | |
|
16 Pocono Rd Ste 205 Denville NJ 07834-2907 | |
| (973) 928-3288 | |
| (973) 928-3286 |
| Full Name | Passaic Sleep Medicine & Neurological Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16 Pocono Rd Ste 205, Denville, New Jersey |
| Authorized Official Name and Position | Fawad Mian (PRESIDENT) |
| Authorized Official Contact | 9739283288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passaic Sleep Medicine & Neurological Services Pc 16 Pocono Rd Ste 205 Denville NJ 07834-2907 Ph: (973) 330-6192 | Passaic Sleep Medicine & Neurological Services Pc 16 Pocono Rd Ste 205 Denville NJ 07834-2907 Ph: (973) 928-3288 |
| NPI Number | 1871875955 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 02/27/2022 |
| Certification Date | 02/27/2022 |
| Medicare PECOS PAC ID | 1951575505 |
|---|---|
| Medicare Enrollment ID | O20111117000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871875955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA08982100 (New Jersey) | Primary |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20111117000475 |
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