Sleep & Neurological Diagnostic Center Llc | |
20 S Mountain Blvd Mountain Top PA 18707-1123 | |
(570) 474-5599 | |
(570) 474-5499 |
Full Name | Sleep & Neurological Diagnostic Center Llc |
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Speciality | Psychiatry & Neurology - Sleep Medicine |
Location | 20 S Mountain Blvd, Mountain Top, Pennsylvania |
Authorized Official Name and Position | Shafiq Ur Rahman (OWNER) |
Authorized Official Contact | 5704745599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sleep & Neurological Diagnostic Center Llc Po Box 100 Mountain Top PA 18707-0100 Ph: (570) 208-5530 | Sleep & Neurological Diagnostic Center Llc 20 S Mountain Blvd Mountain Top PA 18707-1123 Ph: (570) 474-5599 |
NPI Number | 1821365099 |
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Provider Enumeration Date | 11/16/2011 |
Last Update Date | 12/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821365099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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