Healthcare Provider Details

I. General information

NPI: 1750584322
Provider Name (Legal Business Name): MATTHEW AARON SACHS MD, MPH, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 BALTIC AVE STE 42
VIRGINIA BEACH VA
23451-3427
US

IV. Provider business mailing address

1020 FIRST COLONIAL RD STE A
VIRGINIA BEACH VA
23454-3078
US

V. Phone/Fax

Practice location:
  • Phone: 757-219-2753
  • Fax: 804-207-8706
Mailing address:
  • Phone: 757-395-1850
  • Fax: 757-222-9360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101245592
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: