Healthcare Provider Details

I. General information

NPI: 1205274859
Provider Name (Legal Business Name): ALYSSA SOSKIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR
DURHAM NC
27710-4000
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR
DURHAM NC
27710-4000
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-7630
  • Fax:
Mailing address:
  • Phone: 919-668-7630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2021-00395
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2021-00395
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: