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NPI Code Detail

MEDICARE: CODY SACKS MD

MEDICARE: CODY SACKS 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
1207L00000XAnesthesiology Physician25MA13051900NJ

General Provider Information

NPI Number : 1386394278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY SACKS MD
Provider Business Mailing Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-631-8119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 06/09/2026

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