Individual
DR. GREGORY ALEXANDER SKOCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4261A RIDGE AVE, PHILADELPHIA, PA 19129-1748
(215) 795-5055
(215) 278-9619
Mailing address
4261A RIDGE AVE, PHILADELPHIA, PA 19129-1748
(215) 795-5055
(215) 278-9619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018119
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031139500001
—
PA
Enumeration date
05/08/2008
Last updated
06/05/2025
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