Individual
MIROSLAWA SKORUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 MERRIMACK ST, RIVERWALK, LAWRENCE, MA 01843-1756
(978) 557-8700
(978) 557-8856
Mailing address
500 MERRIMACK ST, RIVERWALK, LAWRENCE, MA 01843-1756
(978) 557-8700
(978) 557-8856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016303
NEIGHBORHOOD HEALTH PLAN
—
01
—
0349762
CIGNA HEALTHCARE
—
01
—
04-05306
EVERCARE
—
01
—
110049946A
MASSHEALTH
MA
01
—
110214692
RAILROAD MEDICARE
—
01
—
1558366351
FALLON COMMUNITY HEALTH PLAN
MA
01
—
30010844
NH MEDICAID
NH
05
—
3078582
—
MA
01
—
62888
HARVARD PILGRIM HEALTHCAR
MA
01
—
63410
HEALTHSOURCE
—
01
—
719822
TUFTS HEALTH PLAN
MA
01
—
974951
NETWORK HEALTH
—
01
—
E73376
ANTHEM BLUE CROSS
NH
01
—
J11139
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/17/2005
Last updated
11/20/2012
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