Individual
DR. CHARLES B SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 VINCENT PL, MCLEAN, VA 22101
(703) 821-1017
(703) 799-1053
Mailing address
PO BOX 6305, 1313 VINCENT PL, MCLEAN, VA 22106
(703) 821-1017
(703) 799-1053
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
028451
VA
2084P0800X
Psychiatry Physician
D19862
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082435
ANTHEM BCBS
VA
01
—
8006
CAREFIRST BCBS
DC
01
—
LV26CH
CAREFIRST BCBS
MD
Enumeration date
08/12/2006
Last updated
07/08/2007
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