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Individual

DR. BENJAMIN MATHEW SACKS

Active
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Individual

DR. BENJAMIN MATHEW SACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28871
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0055913
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28871
STATE LICENCE
NE
01
DR.0055913
STATE LICENCE
CO
01
MD60158446
WASHINGTON STATE
WA
Enumeration date
01/22/2008
Last updated
03/31/2024
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