Provider Demographics
NPI:1326002098
Name:SINKER, DALE VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:VICTOR
Last Name:SINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FOXFIELD CT
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5225
Mailing Address - Country:US
Mailing Address - Phone:215-643-3373
Mailing Address - Fax:
Practice Address - Street 1:27 FOXFIELD CT
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5225
Practice Address - Country:US
Practice Address - Phone:215-643-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013555E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA143283Medicare PIN
PAC31678Medicare UPIN