Provider Demographics
NPI:1932147865
Name:EASTERN PENNSYLVANIA COMPREHENSIVE SLEEP DISORDER CENTERS INC.
Entity Type:Organization
Organization Name:EASTERN PENNSYLVANIA COMPREHENSIVE SLEEP DISORDER CENTERS INC.
Other - Org Name:SLEEP APNEA SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-378-5470
Mailing Address - Street 1:1030 REED AVE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2039
Mailing Address - Country:US
Mailing Address - Phone:610-378-5428
Mailing Address - Fax:610-378-5470
Practice Address - Street 1:1030 REED AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2039
Practice Address - Country:US
Practice Address - Phone:610-378-5428
Practice Address - Fax:610-378-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA012086Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER