Provider Demographics
NPI:1255470399
Name:ROMEO A ESCARO MD PA
Entity Type:Organization
Organization Name:ROMEO A ESCARO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESCARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-629-2438
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973
Mailing Address - Country:US
Mailing Address - Phone:302-629-2438
Mailing Address - Fax:302-628-1569
Practice Address - Street 1:9085 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973
Practice Address - Country:US
Practice Address - Phone:302-629-2438
Practice Address - Fax:302-628-1569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10001686207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000208302Medicaid
DE0000208302Medicaid