Provider Demographics
NPI:1396196515
Name:SLEEP DISORDERS CENTER OF CONNECTICUT
Entity Type:Organization
Organization Name:SLEEP DISORDERS CENTER OF CONNECTICUT
Other - Org Name:
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:203-939-9688
Mailing Address - Street 1:83 EAST AVE
Mailing Address - Street 2:SUITE#300
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4902
Mailing Address - Country:US
Mailing Address - Phone:203-939-9688
Mailing Address - Fax:203-939-9690
Practice Address - Street 1:83 EAST AVE
Practice Address - Street 2:SUITE#300
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4902
Practice Address - Country:US
Practice Address - Phone:203-939-9688
Practice Address - Fax:203-939-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory