Provider Demographics
NPI:1063449254
Name:SLEEP & RESPIRATORY CARE
Entity Type:Organization
Organization Name:SLEEP & RESPIRATORY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:UDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-465-2646
Mailing Address - Street 1:17 S. DENNISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY C H
Mailing Address - State:NJ
Mailing Address - Zip Code:08210
Mailing Address - Country:US
Mailing Address - Phone:609-465-2646
Mailing Address - Fax:609-465-7330
Practice Address - Street 1:17 S. DENNISVILLE RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY C H
Practice Address - State:NJ
Practice Address - Zip Code:08210
Practice Address - Country:US
Practice Address - Phone:609-465-2646
Practice Address - Fax:609-465-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04189700207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ085249Medicare ID - Type Unspecified