Provider Demographics
NPI:1760697098
Name:SARAGA, WALTER JR (DC)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:
Last Name:SARAGA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 HULL DR
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7513
Mailing Address - Country:US
Mailing Address - Phone:215-233-0430
Mailing Address - Fax:
Practice Address - Street 1:8305 HULL DR
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-7513
Practice Address - Country:US
Practice Address - Phone:215-233-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002256L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor