Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD021875E | PA |
NPI | 1013059567 |
---|---|
Provider Name | Robert B. Sklaroff |
First Address | Elkins Park, PA 19027-2253 |
Second Address | Elkins Park, PA 19027-2253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B40117 | (02) | PA |