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1558366351

NPI Code Detail

MEDICARE: MIROSLAWA SKORUPKA M.D.

MEDICARE: MIROSLAWA SKORUPKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	74596	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110214692	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0016303	OTHER		NEIGHBORHOOD HEALTH PLAN
3	0349762	OTHER		CIGNA HEALTHCARE
4	E73376	OTHER	NH	ANTHEM BLUE CROSS
5	04-05306	OTHER		EVERCARE
6	110049946A	OTHER	MA	MASSHEALTH
7	1558366351	OTHER	MA	FALLON COMMUNITY HEALTH PLAN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	62888	OTHER	MA	HARVARD PILGRIM HEALTHCAR
10	J11139	OTHER	MD	BLUE CROSS BLUE SHIELD
11	63410	OTHER		HEALTHSOURCE
12	719822	OTHER	MA	TUFTS HEALTH PLAN
13	974951	OTHER		NETWORK HEALTH
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558366351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIROSLAWA SKORUPKA M.D.

Provider Business Mailing Address
First Line	:	500 MERRIMACK ST
Second Line	:	RIVERWALK
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1756
Country	:	US
Telephone Number	:	978-557-8700
Fax Number	:	978-557-8856

Provider Business Practice Location Address
First Line	:	500 MERRIMACK ST
Second Line	:	RIVERWALK
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1756
Country	:	US
Telephone Number	:	978-557-8700
Fax Number	:	978-557-8856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/20/2012

Similar Medicare Providers

1932103298 — BRUCE E. BIRKBY M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
01843-1756

Practice Phone: 978-557-8900
Practice Fax: 978-557-8944

1902800832 — THOMAS L. FAZIO M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
01843-1756

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Practice Fax: 978-557-8867

1578567434 — RICHARD A. GOLDMAN M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
01843-1756

Practice Phone: 978-557-8900
Practice Fax: 978-557-8859

1992700934 — KAREN A. MELLO M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
01843-1756

Practice Phone: 978-557-8900
Practice Fax: 978-557-8859

1639174410 — DREW G. NICCOLINI M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
01843-1756

Practice Phone: 978-557-8900
Practice Fax: 978-557-8867

1194720904 — JANE A. THOMPSON M.D.
Practice Location Address:

500 MERRIMACK ST , RIVERWALK
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Practice Phone: 978-557-8700
Practice Fax: 978-557-8856

Directions to “ MIROSLAWA SKORUPKA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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