Provider Demographics
NPI:1679512610
Name:SACHS, SETH W (MD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:W
Last Name:SACHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:405 ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3326
Mailing Address - Country:US
Mailing Address - Phone:201-712-5501
Mailing Address - Fax:201-712-5505
Practice Address - Street 1:405 ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3326
Practice Address - Country:US
Practice Address - Phone:201-712-5501
Practice Address - Fax:201-712-5505
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2007-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04557300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB97003Medicare UPIN
NJ121507Medicare PIN