Individual
DANIEL BRADLEY SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 FORWOOD CT, COCKEYSVILLE, MD 21030-1433
(443) 834-6681
(410) 853-7578
Mailing address
9 FORWOOD CT, COCKEYSVILLE, MD 21030-1433
(443) 834-6681
(410) 853-7578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0046344
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0046344
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411759000
—
MD
01
—
P00377751
RR MEDICARE
MD
Enumeration date
05/10/2006
Last updated
05/31/2011
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