Healthcare Provider Details

I. General information

NPI: 1467028167
Provider Name (Legal Business Name): PATRICK SAJAK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLD FERN HILL ROAD SUITE 1 BUILDING B
WEST CHESTER PA
19380
US

IV. Provider business mailing address

PO BOX 34990
BELFAST ME
04915-0627
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-6280
  • Fax: 833-941-3871
Mailing address:
  • Phone: 610-359-5640
  • Fax: 833-941-3872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD489574
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: