Organization
SACKMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B SACK M.D. (CEO)
(443) 834-6681
Entity
Organization
Contact information
Practice address
197 THOMAS JOHNSON DR, FREDERICK, MD 21702-4314
(301) 461-9060
Mailing address
9 FORWOOD CT, COCKEYSVILLE, MD 21030-1433
(443) 834-6681
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0046344
MD
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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