Individual
DR. MARK STANLEY SKALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Mailing address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02272273
—
NY
05
—
2147581
—
MA
01
—
2593482
GHI
NY
Enumeration date
04/12/2007
Last updated
04/28/2011
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