Individual
JEFFREY J SKOVRONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8484
Mailing address
PO BOX 221322, CHANTILLY, VA 20153-1322
(703) 691-2516
(703) 691-3526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101026587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006627137
—
VA
01
—
1063438091
GROUP NPI
—
Enumeration date
08/03/2005
Last updated
01/24/2009
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