| Doctor Name: | DR. ROGER M SACHS |
| NPI Number: | 1164891214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 104430 |
| Business Practice Address: | 401 E 65th St 13a New York, NY - 100656943 |
| Business Phone Number: | 2125179665 |
| Business Fax Number: | |
| Mailing Address: | 6 Pheasant Ln, WESTPORT |
| State: | CT |
| Postal Code: | 068801709 |
| Phone Number: | 2039191946 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 104430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |