MEDICARE: DANIEL ROBERT SARKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0061368	MD

General Provider Information

NPI Number	:	1073586525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ROBERT SARKO MD

Provider Business Mailing Address
First Line	:	2112 DUNDALK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21222-3714
Country	:	US
Telephone Number	:	410-284-1133
Fax Number	:	410-284-3371

Provider Business Practice Location Address
First Line	:	2112 DUNDALK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21222-3714
Country	:	US
Telephone Number	:	410-284-1133
Fax Number	:	410-284-3371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

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