Provider Demographics
NPI:1992931687
Name:HAMDEN SLEEP DISORDERS CENTER LLC
Entity type:Organization
Organization Name:HAMDEN SLEEP DISORDERS CENTER LLC
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:203-643-0620
Mailing Address - Street 1:19 TULIP TREE LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1414
Mailing Address - Country:US
Mailing Address - Phone:203-676-0323
Mailing Address - Fax:
Practice Address - Street 1:14 BUSINESS PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2909
Practice Address - Country:US
Practice Address - Phone:203-643-0620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMDEN SLEEP DISORDERS CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-08
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic