Individual
DAVID JOSEPH SKARUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, 2ED, ECU BRODY SCHOOL OF MEDICINE DEPT OF SURGERY, GREENVILLE, NC 27834
(252) 847-4299
(252) 847-8208
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2011-01347
NC
208600000X
Surgery Physician
4301086454
MI
2086S0102X
Surgical Critical Care Physician
2011-01347
NC
2086S0102X
Surgical Critical Care Physician
Primary
ME116513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165J5
BCBSNC
NC
05
—
5918535
—
NC
Enumeration date
05/18/2007
Last updated
01/04/2018
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