Provider Demographics
NPI:1164523726
Name:SACKS & STRIAR PC
Entity Type:Organization
Organization Name:SACKS & STRIAR PC
Other - Org Name:NEUROLOGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STRIAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-825-0610
Mailing Address - Street 1:531 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1325
Mailing Address - Country:US
Mailing Address - Phone:610-825-0610
Mailing Address - Fax:610-825-8929
Practice Address - Street 1:531 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1325
Practice Address - Country:US
Practice Address - Phone:610-825-0610
Practice Address - Fax:610-825-8929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA025839Medicare ID - Type Unspecified