Skylizard, Loki

Skylizard, Loki is an individual health care provider with primary practice located at 166 Morris Ave 2Nd Fl, Long Branch NJ 07740-6619. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Skylizard, Loki can be contacted via phone (732) 263-5024.

Contact Information

Primary practice address
166 Morris Ave 2Nd Fl Long Branch NJ 07740-6619
Phone: (732) 263-5024
Fax: (732) 263-5029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 219576 Massachusetts
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD28398 Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD442847 Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA09252000 New Jersey

Profile Details

NPI number 1326110081
LBN Legal business name Skylizard, Loki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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