Provider Demographics
NPI:1750344784
Name:GERACIMOS, EVA MARIE PIERORAZIO (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:MARIE PIERORAZIO
Last Name:GERACIMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:EVA
Other - Middle Name:MARIE
Other - Last Name:PIERORAZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5311 LIMESTONE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1246
Mailing Address - Country:US
Mailing Address - Phone:302-234-9109
Mailing Address - Fax:302-234-9042
Practice Address - Street 1:5311 LIMESTONE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1246
Practice Address - Country:US
Practice Address - Phone:302-234-9109
Practice Address - Fax:302-234-9042
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECI0007488208D00000X
DEC1-0007488207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEI67798Medicare UPIN
DE020547S36Medicare Oscar/Certification