Provider Demographics
| NPI: | 1194771725 |
|---|---|
| Name: | BARBARA M. SARACINO D.O.,PC |
| Entity type: | Organization |
| Organization Name: | BARBARA M. SARACINO D.O.,PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/PHYSICIAN |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | BARBARA |
| Authorized Official - Middle Name: | MARY |
| Authorized Official - Last Name: | SARACINO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 215-968-5814 |
| Mailing Address - Street 1: | 4 TERRY DR |
| Mailing Address - Street 2: | SUITE#11 |
| Mailing Address - City: | NEWTOWN |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 18940-1838 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 215-968-5814 |
| Mailing Address - Fax: | 215-968-9389 |
| Practice Address - Street 1: | 4 TERRY DR |
| Practice Address - Street 2: | SUITE#11 |
| Practice Address - City: | NEWTOWN |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 18940-1838 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 215-968-5814 |
| Practice Address - Fax: | 215-968-9389 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-25 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | OS-006515-L | 261Q00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |