| Sleep Disorder | |
|
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 | |
| (215) 955-0800 | |
| Not Available |
| Full Name | Sleep Disorder |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 833 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hristos Ristas (VP OF CONTRACTING) |
| Authorized Official Contact | 2159559298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Disorder Po Box 828937 Philadelphia PA 19182-8937 Ph: (215) 503-1240 | Sleep Disorder 833 Chestnut St Suite 630 Philadelphia PA 19107-4414 Ph: (215) 955-0800 |
| NPI Number | 1275707432 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707432 | NPI | - | NPPES |
| 383674 | Other | PA | HIGHMARK BLUE SHIELD |
| 113176 | Other | PA | AETNA |
| 2853760000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 7904304 | Medicaid | NJ | |
| 1153298 | Other | PA | KEYSTONE MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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