Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101242148 | VA |
N | 111NI0900X | Internist | 0101242148 | VA |
Y | 207RI0200X | Infectious Disease | 0101242148 | VA |
NPI | 1083777262 |
---|---|
Provider Name | Dr. Marvin Joel Sklar |
First Address | Silver Spring, MD 20910-7500 |
Second Address | Silver Spring, MD 20910-7500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 07/05/2013 |