Healthcare Provider Details

I. General information

NPI: 1073993549
Provider Name (Legal Business Name): PHILIP ORO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 07/21/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MDG, UNIT 3215, BLDG 2114 ROOM 201
APO RAMSTEIN-MIESENBACH
09094
DE

IV. Provider business mailing address

86 MDG UNIT 3215
APO AE
09094
US

V. Phone/Fax

Practice location:
  • Phone: 4-917-1149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number29983
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29983
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: