Provider Demographics
NPI:1184183667
Name:SLEEP WELL LIVE WELL PLLC
Entity Type:Organization
Organization Name:SLEEP WELL LIVE WELL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-435-8900
Mailing Address - Street 1:17 BRIDGE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-1000
Mailing Address - Country:US
Mailing Address - Phone:978-435-8900
Mailing Address - Fax:
Practice Address - Street 1:17 BRIDGE ST STE 204
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-1000
Practice Address - Country:US
Practice Address - Phone:978-435-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment