Basic Information
| Provider Information | |||||||||
| NPI: | 1821245283 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEIGHBORHOOD SLEEP PHYSICIANS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3922 CLARKS MEADOW DR | ||||||||
| Address2: | |||||||||
| City: | GLENWOOD | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217389321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104897537 | ||||||||
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| Practice Location | |||||||||
| Address1: | 18101 PRINCE PHILIP DR | ||||||||
| Address2: | MONTGOMERY GENERAL HOSPITAL - SLEEP CENTER | ||||||||
| City: | OLNEY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208321514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017748882 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2008 | ||||||||
| LastUpdateDate: | 05/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | MILLER | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | WILLIAM | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 3013513183 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | D0057581 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
No ID Information.