Individual
MATTHEW J SKOMOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4030 HENDERSON RD, COLUMBUS, OH 43220-2287
(614) 442-7550
(614) 442-4100
Mailing address
4030 HENDERSON RD, COLUMBUS, OH 43220-2287
(614) 442-7550
(614) 442-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-122312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106013
—
OH
Enumeration date
05/09/2011
Last updated
02/02/2015
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