Lung Doctor Llc is a Sleep Medicine in Newark, New Jersey. Lung Doctor Llc practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Lung Doctor Llc is 1194770966. The last update date is 2008-07-30.
Lung Doctor Llc's current location address is 722 Sanford Ave, Newark, New Jersey. You can contact this provider via phone number 9733999090. The mailing address for Lung Doctor Llc is 722 Sanford Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lung Doctor Llc |
|---|---|
| Address | 722 Sanford Ave, Newark, New Jersey |
| Phone Number | 9733999090 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gbaysomore Akingboju |
| Credentials | DO |
| Telephone Number | 9733999090 |
NPI Number Detail
| NPI Number | 1194770966 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 722 Sanford Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71063627 |
| Phone Number | 9733999090 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
| Licence No | MA58862 |
|
Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7240406 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lung Doctor Llc by the Centers for Medicare & Medicaid Services?
The Lung Doctor Llc has been assigned the NPI (National Provider Identifier) 1194770966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Lung Doctor Llc's physical address?
The Lung Doctor Llc is physically located at 722 Sanford Ave, in the city of Newark, NJ, with the postal code 71063627.
What is Lung Doctor Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lung Doctor Llc is Sleep Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rs0012X.
On what date was the 1194770966 assigned to Lung Doctor Llc?
The Lung Doctor Llc was issued its 1194770966 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lung Doctor Llc's details last updated?
The information pertaining to the Lung Doctor Llc, including its address, specialty, and other details, was most recently updated on 2008-07-30.
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