Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D42974 | MD |
NPI | 1063472421 |
---|---|
Provider Name | Dr. Geoffrey Neal Sklar |
First Address | Owings Mills, MD 21117-5421 |
Second Address | Baltimore, MD 21237-4360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
596941700 | (05) | MD |
731LO145 | MEDICARE BILLING PTAN (01) | MD |
F83877 | (02) | MD |