Provider Demographics
NPI:1891174157
Name:PHILADELPHIA SLEEP CENTER INC.
Entity Type:Organization
Organization Name:PHILADELPHIA SLEEP CENTER INC.
Other - Org Name:PHILADELPHIA SLEEP CENTER -HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-952-0752
Mailing Address - Street 1:2324 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4417
Mailing Address - Country:US
Mailing Address - Phone:215-952-0752
Mailing Address - Fax:215-952-0963
Practice Address - Street 1:2324 S BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4417
Practice Address - Country:US
Practice Address - Phone:215-952-0752
Practice Address - Fax:215-952-0963
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHILADELPHIA SLEEP CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000007207293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory