Provider Demographics
NPI:1861484362
Name:SACCO, DAVID R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:SACCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 CORAOPOLIS HEIGHTS RD STE G1
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4307
Mailing Address - Country:US
Mailing Address - Phone:412-269-4114
Mailing Address - Fax:
Practice Address - Street 1:1600 CORAOPOLIS HEIGHTS RD STE G1
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-4307
Practice Address - Country:US
Practice Address - Phone:412-269-4114
Practice Address - Fax:412-269-4116
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
072187PNEMedicare PIN
PAH91407Medicare UPIN