Healthcare Provider Details

I. General information

NPI: 1467551861
Provider Name (Legal Business Name): DAVID CHRISTOPHER ROSKA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 WB MCLEAN DR
CAPE CARTERET NC
28584-8515
US

IV. Provider business mailing address

101 HOPE TOWN CT
CEDAR POINT NC
28584-4501
US

V. Phone/Fax

Practice location:
  • Phone: 252-764-5414
  • Fax:
Mailing address:
  • Phone: 252-764-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2009-01635
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: