Individual
DR. JACQUELINE ALISSA SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785
(410) 328-6749
(410) 328-7305
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-1196
(410) 706-8163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D85243
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D85243
MD
Other
Enumeration date
05/17/2012
Last updated
07/09/2018
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