Organization
JOHN SKOUGE , M.D.,P.A.
Active
Other names
John Skouge, M.D.,P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM SKOUGE M.D. (PHYSICIAN/PRESIDENT)
(410) 825-6810
Entity
Organization
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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7665
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
10/25/2006
Last updated
01/06/2010
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