MEDICARE: MANUEL SANCHEZ 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	2084P0800X	Psychiatry Physician	MA62336	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407828999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL SANCHEZ MD

Provider Business Mailing Address
First Line	:	1028 COOLIDGE RD
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-3625
Country	:	US
Telephone Number	:	973-972-8417
Fax Number	:	973-972-7173

Provider Business Practice Location Address
First Line	:	183 S ORANGE AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2757
Country	:	US
Telephone Number	:	973-972-8417
Fax Number	:	973-972-7173

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	12/08/2010

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Directions to “ MANUEL SANCHEZ MD” Practice Location

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