Individual
DR. ROBERT IRA SACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 N PRINCE ST, T W PONESSA AND ASSOCIATES, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Mailing address
5410 AVENUE SIMONE, LUTZ, FL 33558-2828
(301) 442-4158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD438306
PA
Other
Enumeration date
03/29/2007
Last updated
07/09/2016
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