Individual
ALICIA C SKARIMBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 GRAND AVE, ENGLEWOOD, NJ 07631-4154
(201) 567-3370
(201) 816-1265
Mailing address
370 GRAND AVE STE 102, ENGLEWOOD, NJ 07631-4109
(201) 567-3370
(201) 816-1265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07489600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000028988
—
MA
05
—
02632415
—
NY
05
—
2081491
—
MA
01
—
3269
MVP
MA
01
—
34828
HEALTH NEW ENGLAND
MA
01
—
710555
HARVARD PILGRIM HEALTH CA
MA
01
—
J27848
BLUE CROSS
MA
Enumeration date
07/19/2005
Last updated
08/01/2011
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