Provider Demographics
NPI:1679392179
Name:DARA ADVANCED SINUS BREATHING AND SLEEP SURGERY CENTERS INC
Entity type:Organization
Organization Name:DARA ADVANCED SINUS BREATHING AND SLEEP SURGERY CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEWET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-705-2755
Mailing Address - Street 1:563 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1300
Mailing Address - Country:US
Mailing Address - Phone:978-705-2755
Mailing Address - Fax:833-428-4152
Practice Address - Street 1:563 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-1300
Practice Address - Country:US
Practice Address - Phone:978-705-2755
Practice Address - Fax:833-428-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty