Provider Demographics
NPI:1144456468
Name:BRISTOL PULMONARY AND SLEEP MEDICINE P.C.
Entity type:Organization
Organization Name:BRISTOL PULMONARY AND SLEEP MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IMAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAHHADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-824-7282
Mailing Address - Street 1:72 WASHINGTON ST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2491
Mailing Address - Country:US
Mailing Address - Phone:508-824-7282
Mailing Address - Fax:508-824-7285
Practice Address - Street 1:72 WASHINGTON ST STE 2100
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2470
Practice Address - Country:US
Practice Address - Phone:508-824-7282
Practice Address - Fax:508-824-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty