Sackmd LLC
Anesthesiology in Frederick, MD. Organization (NPI-2).
NPI number1780972166
StatusActive
Last updated in NPPESJul 19, 2011
Details
- NPI
- 1780972166
- Entity type
- Organization (NPI-2)
- Legal business name
- Sackmd LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2011
- Last updated
- Jul 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | D0046344 | MD | Yes |
Practice location
197 Thomas Johnson DrFrederick, MD 21702-4314
Phone 301-461-9060
Mailing address
9 Forwood CtCockeysville, MD 21030-1433
Phone 443-834-6681
Authorized official
Daniel B Sack
Ceo
4438346681
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