Provider Demographics
NPI:1215001235
Name:ROMEO, PASQUALE MATTHEW (MD00038785)
Entity Type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:MATTHEW
Last Name:ROMEO
Suffix:
Gender:M
Credentials:MD00038785
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 W MCGRAW ST
Mailing Address - Street 2:SUITE 301G
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-3239
Mailing Address - Country:US
Mailing Address - Phone:206-281-9957
Mailing Address - Fax:
Practice Address - Street 1:3214 W MCGRAW ST
Practice Address - Street 2:SUITE 301G
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-3239
Practice Address - Country:US
Practice Address - Phone:206-281-9957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000387852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0197571OtherLABOR & INDUSTRIES
WA1356ROOtherREGENCE
WAC55269Medicare UPIN
WA1356ROOtherREGENCE