Individual
DR. KENNETH L SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 OYSTER LANDING RD, MILFORD, CT 06460-6566
(203) 877-1101
Mailing address
10 OYSTER LANDING RD, MILFORD, CT 06460-6566
(203) 877-1101
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
017089
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017089
STATE LICENSE NUMBER
CT
Enumeration date
03/11/2010
Last updated
03/11/2010
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