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Contact Information

LOKI SKYLIZARD, MD
166 MORRIS AVE
2ND FL
LONG BRANCH, NJ07740-6619
 Phone: 732-263-5024
 Fax: 732-263-5029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LOKI SKYLIZARD · (Male)

NPI # 1326110081
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 03/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AL License # MD28398
  • MA License # 219576
  • NJ License # 25MA09252000
  • PA License # MD442847
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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