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NPI Code Detail

MEDICARE: MATTHEW SACHS, MD LLC

MEDICARE: MATTHEW SACHS, MD LLC
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
12084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1053754523
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATTHEW SACHS, MD LLC
Provider Business Mailing Address
First Line : 2633 WIMBLEDON POINT DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-1170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6353 CENTER DR
Second Line : SUITE 204
City : NORFOLK
State : VA
Zip : 23502-4112
Country : US
Telephone Number : 757-461-3313
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. MATTHEW SACHS
Credential : MD, MPH
Telephone Number : 804-921-9955
Provider Enumeration Date : 04/15/2013
Last Update Date : 04/15/2013

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