MARYBESS SKALETSKY PA NPI 1154379345

NPI Information

Marybess Skaletsky, PA is a surgical physician assistant in Scarborough, ME with 24 years of experience. Marybess Skaletsky, PA NPI is 1154379345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 US ROUTE 1
BUILDING C
SCARBOROUGH, ME
ZIP 04074-701
Phone: (207) 396-8600
Fax: (207) 396-8632

The NPI 1154379345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 3/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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