Organization
CHARLES B. SACKS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BERNARD SACKS M.D. (PRESIDENT)
(703) 821-1017
Entity
Organization
Contact information
Practice address
1313 VINCENT PL, MC LEAN, VA 22101-3615
(703) 821-1017
(301) 588-2710
Mailing address
PO BOX 6305, MC LEAN, VA 22106-6305
(703) 821-1017
(301) 588-2710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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