Provider Demographics
NPI:1871566828
Name:SACHER, S MARK (DO)
Entity type:Individual
Prefix:
First Name:S
Middle Name:MARK
Last Name:SACHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BIRCHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4019
Mailing Address - Country:US
Mailing Address - Phone:856-231-9330
Mailing Address - Fax:844-364-7182
Practice Address - Street 1:1001 BIRCHFIELD DR
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4019
Practice Address - Country:US
Practice Address - Phone:856-231-9000
Practice Address - Fax:844-364-7182
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB066377002084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ260034826OtherRAILROAD MEDICARE
NJ7386605Medicaid
NJ260034826OtherRAILROAD MEDICARE
NJ7386605Medicaid