Individual
DR. MARK J SHULKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-2137
(814) 877-7049
Mailing address
11781 ROUTE 50 STE 550, FAIRFAX, VA 22033-3336
(571) 777-5102
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1024386
MA
207L00000X
Anesthesiology Physician
Primary
MD039737E
PA
207L00000X
Anesthesiology Physician
MD13717
ME
Other
Enumeration date
05/10/2006
Last updated
12/16/2025
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