Provider Demographics
NPI:1871801977
Name:HAMDEN SLEEP DISORDERS CENTER,LLC
Entity type:Organization
Organization Name:HAMDEN SLEEP DISORDERS CENTER,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-301-4349
Mailing Address - Street 1:174 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3415
Mailing Address - Country:US
Mailing Address - Phone:203-301-4349
Mailing Address - Fax:203-301-4352
Practice Address - Street 1:174 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3415
Practice Address - Country:US
Practice Address - Phone:203-301-4349
Practice Address - Fax:203-301-4352
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMDEN SLEEP DISORDERS CENTER,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-23
Last Update Date:2016-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic