Individual
AMY MICHELLE SKORUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 WIMBLEDON SQ, SUITE E, CHESAPEAKE, VA 23320-4946
(757) 436-2995
(757) 436-2912
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101241750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780605576
—
VA
Enumeration date
07/21/2006
Last updated
06/02/2011
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