Healthcare Provider Details

I. General information

NPI: 1467512368
Provider Name (Legal Business Name): ROMEO A ESCARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9085 RIVERSIDE DRIVE
SEAFORD DE
19973
US

IV. Provider business mailing address

PO BOX 914
SEAFORD DE
19973
US

V. Phone/Fax

Practice location:
  • Phone: 302-629-2438
  • Fax: 302-628-1569
Mailing address:
  • Phone: 302-629-2438
  • Fax: 302-628-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC10001686
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: