Healthcare Provider Details

I. General information

NPI: 1982095063
Provider Name (Legal Business Name): ROBIN SKORY M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2015
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 MARKET ST STE 800
PHILADELPHIA PA
19104-5502
US

IV. Provider business mailing address

112 S 19TH ST APT 304
PHILADELPHIA PA
19103-4676
US

V. Phone/Fax

Practice location:
  • Phone: 517-282-9185
  • Fax:
Mailing address:
  • Phone: 517-282-9185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA147370
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD470214
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: