Healthcare Provider Details

I. General information

NPI: 1487638136
Provider Name (Legal Business Name): ROBERT Q SCACHERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BANNING ST SUITE 320
DOVER DE
19904-3485
US

IV. Provider business mailing address

200 BANNING STREET SUITE 320
DOVER DE
19904-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-0223
  • Fax: 302-674-0109
Mailing address:
  • Phone: 302-674-0223
  • Fax: 302-674-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC10005025
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: