Provider Demographics
NPI:1578308490
Name:TMJ SLEEP WELLNESS CENTER
Entity type:Organization
Organization Name:TMJ SLEEP WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-234-9192
Mailing Address - Street 1:241 KING ST STE 220
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2344
Mailing Address - Country:US
Mailing Address - Phone:413-586-4200
Mailing Address - Fax:
Practice Address - Street 1:241 KING ST STE 220
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2344
Practice Address - Country:US
Practice Address - Phone:413-586-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies