Provider Demographics
NPI:1073097028
Name:MARK M. SKLAR, M.D., PLLC
Entity Type:Organization
Organization Name:MARK M. SKLAR, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:M
Authorized Official - Last Name:SKLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-887-4769
Mailing Address - Street 1:3 WASHINGTON CIR NW STE 303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2311
Mailing Address - Country:US
Mailing Address - Phone:202-887-4769
Mailing Address - Fax:202-223-2552
Practice Address - Street 1:3 WASHINGTON CIR NW STE 303
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2311
Practice Address - Country:US
Practice Address - Phone:202-887-4769
Practice Address - Fax:202-223-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-16
Last Update Date:2018-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty