1194771725 NPI number — BARBARA M. SARACINO D.O.,PC

Table of content: (NPI 1194771725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194771725 NPI number — BARBARA M. SARACINO D.O.,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARA M. SARACINO D.O.,PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194771725
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 TERRY DR
Provider Second Line Business Mailing Address:
SUITE#11
Provider Business Mailing Address City Name:
NEWTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18940-1838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-968-5814
Provider Business Mailing Address Fax Number:
215-968-9389

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 TERRY DR
Provider Second Line Business Practice Location Address:
SUITE#11
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18940-1838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-968-5814
Provider Business Practice Location Address Fax Number:
215-968-9389
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SARACINO
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
215-968-5814

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  OS-006515-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com