MEDICARE: SANKO INC

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1942167333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANKO INC

Provider Business Mailing Address
First Line	:	PO BOX 516
Second Line	:
City	:	RANDOLPH
State	:	MA
Zip	:	02368-0516
Country	:	US
Telephone Number	:	617-299-7113
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 UNIVERSITY AVE UNIT 2258
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2381
Country	:	US
Telephone Number	:	617-299-7113
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PAVEL MAROZ
Credential	:
Telephone Number	:	617-299-7113

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “SANKO INC ” Practice Location

Language	Start Address	Practice Location

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