Individual
DR. MITCHEL A SKLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5891
(401) 444-8158
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
213777
MA
207RI0011X
Interventional Cardiology Physician
213777
MA
207RI0011X
Interventional Cardiology Physician
Primary
MD10861
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110005725A
—
MA
05
—
7009541
—
RI
Enumeration date
06/15/2005
Last updated
09/29/2022
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