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NPI Code Detail

MEDICARE: MANUEL SANCHEZ MD

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
12084P0800XPsychiatry PhysicianMA62336NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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