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Individual

DR. PAUL A SACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 E 33RD ST, SUITE 551, BALTIMORE, MD 21218-3322
(410) 554-4511
(301) 625-1485
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 554-4511
(410) 554-6490

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D60541
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407984100
MD
01
645434-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/12/2006
Last updated
12/09/2016
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