Individual
DR. MARIO SARACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
4854 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-3682
Mailing address
4854 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-3682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069622
MEDICARE PTAN
PA
Enumeration date
09/23/2005
Last updated
08/29/2013
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