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General NPI Number Information
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NPI Number | 1316208994
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Entity Type | Organization
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Legal Business Name | SLEEP ATOZZZS LLC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 184 S LIVINGSTON AVE SUITE 9327
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3014
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Country | US
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Telephone | 973-634-7453
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BARRY ALAN COHEN
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Credential | M.D.
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Telephone | 973-634-7453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA00798600
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License Number State | NJ
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