Provider Demographics
NPI:1548563919
Name:ARTHUR H. SKALSKI, M.D., LLC
Entity Type:Organization
Organization Name:ARTHUR H. SKALSKI, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:SKALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-872-5415
Mailing Address - Street 1:151 HAZARD AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4584
Mailing Address - Country:US
Mailing Address - Phone:860-698-9700
Mailing Address - Fax:860-698-9796
Practice Address - Street 1:151 HAZARD AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4584
Practice Address - Country:US
Practice Address - Phone:860-698-9700
Practice Address - Fax:860-698-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041105207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty