Individual
DR. JOHN WILLIAM SKOUGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(410) 825-6810
(410) 825-1621
Mailing address
1302 BELLONA AVE, LUTHERVILLE, MD 21093-5425
(410) 825-6810
(410) 825-1621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0026614
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028W
CAREFIRST BC/BS MD ASC
MD
01
—
522376-01
CAREFIRST BC/BS MD
MD
01
—
7665
BC/BS MD
MD
01
—
K318
FEDERAL BC/BS
MD
01
—
RTZ
CAREFIRST BLUE CHOICEASC
MD
Enumeration date
03/01/2006
Last updated
07/08/2007
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