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General NPI Number Information
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NPI Number | 1770887739
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTHCARE OF CT LLC
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 1305 POST RD. SUITE 305
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City | FAIRFIELD
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State | CT
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Zip | 06824
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Country | US
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Telephone | 203-292-9800
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Fax | 203-292-9799
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Provider Business Mailing Address
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Address Line | 1305 POST RD. SUITE 305
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City | FAIRFIELD
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State | CT
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Zip | 06824
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Country | US
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Telephone | 203-292-9800
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Fax | 203-292-9799
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Authorized Official
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Title or Position | OWNER
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Name | DR. A. JOEL PAPOWITZ
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Credential | M. D.
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Telephone | 203-292-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 14245
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License Number State | CT
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