Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | C1 0000618 | DE |
NPI | 1003891466 |
---|---|
Provider Name | Robert J Scacheri |
First Address | Dover, DE 19904-3530 |
Second Address | Dover, DE 19904-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000028801 | (05) | DE |
B66449 | (02) |