Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1548313034 |
| LBN Legal business name | NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP |
| Authorized official | NABIL MOUFARREJ - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/19/2007 |
| Last updated | 06/08/2010 - About 16 years ago |
| Identifiers | n/a |
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