Provider Demographics
NPI:1003891466
Name:SCACHERI, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:SCACHERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 S GOVERNORS AVE
Mailing Address - Street 2:STE 201 OB GYN ASSOCIATES OF DOVER PA
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3530
Mailing Address - Country:US
Mailing Address - Phone:302-674-0223
Mailing Address - Fax:302-674-0109
Practice Address - Street 1:540 S GOVERNORS AVE
Practice Address - Street 2:STE 201 OB GYN ASSOCIATES OF DOVER PA
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3530
Practice Address - Country:US
Practice Address - Phone:302-674-0223
Practice Address - Fax:302-674-0109
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1 0000618207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000028801Medicaid
DESC112965Medicare ID - Type Unspecified
DE0000028801Medicaid