| Doctor Name: | MARYBESS SKALETSKY |
| NPI Number: | 1154379345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA001047 |
| Business Practice Address: | 301 Us Route 1 Building C Scarborough, ME - 040749701 |
| Business Phone Number: | 2073968600 |
| Business Fax Number: | 2073968632 |
| Mailing Address: | 301 Us Route 1, Building C SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749701 |
| Phone Number: | 2073968600 |
| Fax Number: | 2073968632 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA001047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |