Michael A. Skolnick
Adolescent Medicine
130 Hospital Rd Suite 207
Prince Frederick
, Maryland 20678
Michael A. Skolnick
Adolescent Medicine
130 Hospital Rd Suite 207
Prince Frederick
, Maryland 20678
(410) 414-4662
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Michael A. Skolnick
- P.o. Box 3509
- Prince Frederick, MD
- Zip : 20678
- Fax : (410) 414-4662
- Phone : (410) 535-5959
Second Address
- Michael A. Skolnick
- 130 Hospital Rd Suite 207
- Prince Frederick, MD
- Zip : 20678
- Fax : (410) 414-4662
- Phone : (410) 535-5959
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Is Michael A. Skolnick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D0058856 | MD |
National Provider Identifier
| NPI | 1205843851 |
|---|---|
| Provider Name | Michael A. Skolnick |
| First Address | Prince Frederick, MD 20678 |
| Second Address | Prince Frederick, MD 20678 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 20/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 400308000 | (05) | MD |
| 61673604 | CAREFIRST BCBS (01) | MD |
| H 79319 | (02) | |
| H79319 | (02) | MD |
| J7730003 | CAREFIRST BCBS (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.