Provider Demographics
NPI:1255644548
Name:SKIBINSKY, VADIM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VADIM
Middle Name:
Last Name:SKIBINSKY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LENCH AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3711
Mailing Address - Country:US
Mailing Address - Phone:732-485-4437
Mailing Address - Fax:
Practice Address - Street 1:3258 BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-3459
Practice Address - Country:US
Practice Address - Phone:732-892-5673
Practice Address - Fax:732-892-4457
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03295700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist