Healthcare Provider Details

I. General information

NPI: 1992769913
Provider Name (Legal Business Name): DAVID D SKILLINGE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 12/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 FRENCHTOWN RD
MILFORD NJ
08848-1329
US

IV. Provider business mailing address

2100 WESCOTT DR
FLEMINGTON NJ
08822-4603
US

V. Phone/Fax

Practice location:
  • Phone: 908-995-2251
  • Fax: 908-995-2036
Mailing address:
  • Phone: 908-788-6160
  • Fax: 610-954-3560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009158L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB09157800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: