Healthcare Provider Details

I. General information

NPI: 1285637108
Provider Name (Legal Business Name): JOSEPH ANTHONY SARACINO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 HOSPITAL DR NE
BOLIVIA NC
28422-8346
US

IV. Provider business mailing address

4000 CENTER AT NORTH HILLS ST STE 800
RALEIGH NC
27609-7096
US

V. Phone/Fax

Practice location:
  • Phone: 252-527-6565
  • Fax: 252-233-0573
Mailing address:
  • Phone: 954-343-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35193
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: