Individual
ROBERT M ZUKOSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-5292
(910) 457-5409
Mailing address
904 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-5292
(910) 457-5409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989928
—
NC
01
—
89928
BCBS
NC
Enumeration date
11/28/2005
Last updated
07/08/2007
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