Provider Demographics
NPI:1558703025
Name:MID ATLANTIC PULMONARY CRITICAL CARE AND SLEEP PC
Entity Type:Organization
Organization Name:MID ATLANTIC PULMONARY CRITICAL CARE AND SLEEP PC
Other - Org Name:CARROLL PULMONARY AND SLEEP ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:UHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-848-3858
Mailing Address - Street 1:224 WASHINGTON HEIGHTS MED CTR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5666
Mailing Address - Country:US
Mailing Address - Phone:410-848-3858
Mailing Address - Fax:410-848-6795
Practice Address - Street 1:224 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5666
Practice Address - Country:US
Practice Address - Phone:410-848-3858
Practice Address - Fax:410-848-6795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty