Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS002823L | PA |
NPI | 1235109489 |
---|---|
Provider Name | Dr. Gerald H Skobinsky |
First Address | Elkins Park, PA 19027-2946 |
Second Address | Elkins Park, PA 19027-2946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 16/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D77376 | (02) | PA |