Provider Demographics
NPI:1447340492
Name:ESCATIOLA, JAMES A (TECHNICIAN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:ESCATIOLA
Suffix:
Gender:M
Credentials:TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMDT CG-1122 US COAST GUARD
Mailing Address - Street 2:2100 2ND ST SW STE 5314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593-0001
Mailing Address - Country:US
Mailing Address - Phone:361-983-2617
Mailing Address - Fax:361-983-4635
Practice Address - Street 1:COMDT CG-1122 US COAST GUARD
Practice Address - Street 2:2100 2ND ST SW STE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:361-983-2617
Practice Address - Fax:361-983-4635
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24720000X247000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information