Provider Demographics
NPI:1003934597
Name:WINMAR PULMONARY ASSOCIATES LTD
Entity Type:Organization
Organization Name:WINMAR PULMONARY ASSOCIATES LTD
Other - Org Name:NATIONWIDE SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAWEE
Authorized Official - Suffix:
Authorized Official - Credentials:BS RRT
Authorized Official - Phone:617-823-0921
Mailing Address - Street 1:800 W CUMMINGS PARK
Mailing Address - Street 2:SUITE#2000
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6372
Mailing Address - Country:US
Mailing Address - Phone:800-285-2529
Mailing Address - Fax:888-796-4915
Practice Address - Street 1:800 W CUMMINGS PARK
Practice Address - Street 2:SUITE#2000
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6372
Practice Address - Country:US
Practice Address - Phone:800-285-2529
Practice Address - Fax:888-796-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA710758OtherTUFTS HEALTH PLAN
MA734608OtherTUFTS HEALTH PLAN
MA710758OtherTUFTS HEALTH PLAN