Individual
DR. IRA SACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2808 OLD POST RD, HARRISBURG, PA 17110-3670
(717) 920-4400
(717) 920-4553
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD019573E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD019573E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001009987
—
PA
01
—
060037222
RAILROAD MEDICARE
—
Enumeration date
05/23/2005
Last updated
12/15/2017
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