Provider Demographics
NPI:1235109489
Name:SKOBINSKY, GERALD H (DO)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:H
Last Name:SKOBINSKY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7301 COVENTRY AVE
Mailing Address - Street 2:APT 209
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2946
Mailing Address - Country:US
Mailing Address - Phone:215-635-5899
Mailing Address - Fax:215-635-0308
Practice Address - Street 1:7301 COVENTRY AVE
Practice Address - Street 2:APT 209
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2946
Practice Address - Country:US
Practice Address - Phone:215-635-5899
Practice Address - Fax:215-635-0308
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2015-03-16
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Provider Licenses
StateLicense IDTaxonomies
PAOS002823L204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD77376Medicare UPIN