Whalio Doctors

NPI 1326110081

Loki Skylizard, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Long Branch, NJ

Practice location

Address
166 Morris Ave 2nd Fl, Long Branch, NJ 07740-6619
Phone
(732) 263-5024
Fax
(732) 263-5029
Mailing address
PO Box 8000 Dept 596, Buffalo, NY 14267-0002

Registered specialties (4)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 25MA09252000 (NJ)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 219576 (MA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD28398 (AL)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence MD442847 (PA)

Registry record

NPI
1326110081
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Nov 2006
Record last updated
14 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.