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Individual

GREGORY M SARACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2115 CHAPLINE ST, SUITE 308, WHEELING, WV 26003-3859
(304) 234-8300
(304) 233-6073
Mailing address
PO BOX 6922, WHEELING, WV 26003-0929
(304) 233-2455
(304) 233-6073

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16191
WV
208600000X
Surgery Physician
35053534
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0124865000
WV
05
0634353
OH
Enumeration date
01/11/2007
Last updated
07/08/2007
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