Provider Demographics
NPI:1932557311
Name:RINKLEFREE, LLC
Entity Type:Organization
Organization Name:RINKLEFREE, LLC
Other - Org Name:MODERN AESTHETIC PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SKALICKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-794-9900
Mailing Address - Street 1:104 PHEASANT RUN
Mailing Address - Street 2:SUITE 123 BLDG A
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3439
Mailing Address - Country:US
Mailing Address - Phone:215-860-9600
Mailing Address - Fax:215-795-4245
Practice Address - Street 1:104 PHEASANT RUN
Practice Address - Street 2:SUITE 123 BLDG A
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3439
Practice Address - Country:US
Practice Address - Phone:215-702-8600
Practice Address - Fax:215-795-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty