Doctor Name: | ROBERT V SKLAR |
NPI Number: | 1629317383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 201001568 |
Business Practice Address: | 1/10 Marines 2mardiv Camp Lejeune, NC - 28542 |
Business Phone Number: | 9104508207 |
Business Fax Number: | |
Mailing Address: | 101 Widgeon Circle, HAMPSTEAD |
State: | NC |
Postal Code: | 28443 |
Phone Number: | 9146071551 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 201001568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |