Individual
STANLEY S SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59258
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068561
CIGNA HEALTH PLAN
—
01
—
042472266
HEALTHCARE VALUE MANAGEME
—
01
—
059258
TUFTS HEALTH PLAN
—
01
—
27232
HEALTHY START
—
05
—
3031934
—
MA
01
—
4065772
AETNA US HEALTHCARE
—
01
—
784181
MVP HEALTH CARE
—
01
—
919679
FIRST HEALTH
—
01
—
9900033
FALLON COMMUNITY HEALTH P
—
01
—
AA1178
HARVARD PILGRIM HEALTHCAR
—
01
—
J07967
BLUE CROSS
—
Enumeration date
07/17/2006
Last updated
10/29/2008
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