Creative Lifestyles Management Prog

NPI #1447430376 in Waldorf, Maryland

Provider Information

NPI Number
1447430376
Entity Type
Organization
Organization Name
Creative Lifestyles Management Prog
Primary Specialty
Internal Medicine - Sleep Medicine
Enumeration Date
Nov 8, 2007
Last Updated
Nov 10, 2011

Practice Location

Address
10 ST. PATRICKS DRIVE
Address 2
SUITE 101
ZIP Code
20603-3500
Phone
(301) 877-4600

Authorized Official

Name
MR. CHARLES R. STEWART
Title
CFO
Phone
(301) 877-4541

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Sleep MedicineSleep Medicine

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