Dr David M Sack, MD | |
100 Hitchcock Way, Manchester, NH 03104-4125 | |
(603) 695-2500 | |
Not Available |
Full Name | Dr David M Sack |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 100 Hitchcock Way, Manchester, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710986898 | NPI | - | NPPES |
1273929 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 027392 (Connecticut) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | EL10071 (New Hampshire) | Primary |
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Entity Name | Connecticut Gi Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
Mailing Address | Practice Location Address |
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Dr David M Sack, MD Po Box 810, Hanover, NH 03755-0810 Ph: (603) 308-1467 | Dr David M Sack, MD 100 Hitchcock Way, Manchester, NH 03104-4125 Ph: (603) 695-2500 |
Jenny Lin, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Dr. Douglas F. Marks Jr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 87 Mcgregor St, Ste 4100, Manchester, NH 03102 Phone: 603-695-2500 Fax: 603-695-2647 | |
Dr. Jose E. Lozano, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 718 Smyth Rd, Manchester Va, Manchester, NH 03104 Phone: 603-624-4366 | |
Frances Jensen, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 456 Union St, Manchester, NH 03103 Phone: 866-679-0381 | |
Dr. Victor Gordan, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 Fax: 603-626-6559 | |
Dr. Peter Wilson Shaw, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-627-1669 | |
Dr. Goran Broketa, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 Fax: 603-629-3217 |