Organization
EBH NORTHEAST SERVICES
Active
Parent organization
DAVID SACK MD TN PC
Other names
Clarity Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID SACK MD TN PC
Authorized official
CHERYL MAPLESDEN CPC, CHC, CHPC (DIRECTOR, REVENUE CYCLE)
(615) 510-3708
Entity
Organization
Contact information
Practice address
544 IRON RIDGE RD, HANOVER, PA 17331-6838
(615) 567-7256
Mailing address
PO BOX 670600, DALLAS, TX 75267-0600
(615) 567-7256
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
OS009643L
PA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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