OrganizationActive
Creative Lifestyles Management Prog
NPI 1447430376 · Sleep Medicine (Internal Medicine) Physician · Waldorf, MD
Provider details
- NPI number
- 1447430376
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Stewart, Cfo(301) 877-4541
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10 St. Patricks Drive
Suite 101
Waldorf, MD 20603-3500
Phone: (301) 877-4600
Fax: (301) 870-5747
Approximate (ZIP-level) locationGet directions
Mailing address
7503 Surratts Road
Clinton, MD 20735-3358
Other names (DBA / former)
- Doing business as
- Laboratory for Sleep Disorders
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2011-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.