Healthcare Provider Details

I. General information

NPI: 1073097028
Provider Name (Legal Business Name): MARK M. SKLAR, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2018
Last Update Date: 09/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIR NW STE 303
WASHINGTON DC
20037-2311
US

IV. Provider business mailing address

3 WASHINGTON CIR NW STE 303
WASHINGTON DC
20037-2311
US

V. Phone/Fax

Practice location:
  • Phone: 202-887-4769
  • Fax: 202-223-2552
Mailing address:
  • Phone: 202-887-4769
  • Fax: 202-223-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK M SKLAR
Title or Position: OWNER
Credential: MD
Phone: 202-887-4769