Active NPIIndividual provider

Boris Skurkovich, MD

Pediatrics in Providence, Rhode Island

NPI Number1558343467
Practice location
239 Cranston St, Providence, RI 02907-2406
Fax
401-444-0428
Last updated
January 5, 2024

Boris Skurkovich is a Pediatrics based in Providence, RI. Boris Skurkovich practices in Providence, RI and has the professional credentials of MD. The NPI Number for Boris Skurkovich is 1558343467 and holds a License No. MD7319 (RI). The current practice location address for Boris Skurkovich is 239 Cranston St, Providence, RI 02907-2406 and can be reached out via phone at 401-444-0580 and via fax at 401-444-0428.

Provider Profile Details

NPI Number
1558343467
Provider Name
Boris Skurkovich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
239 Cranston St, Providence, RI 02907-2406
Phone Number
401-444-0580
Fax Number
401-444-0428
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2005
Last Update Date
January 5, 2024
Certification Date
January 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Cranston St
Providence, RI 02907-2406
Zip
02907-2406
Phone Number
401-444-0580
Fax Number
401-444-0428
Providence, RI 02907Get directions →

Provider Business Mailing Address Details

Address
375 Allens Ave
Providence, RI 02905-5010
City
Providence
State
RI
Zip
02905-5010
Phone Number
401-444-0400
Fax Number
401-444-0468

License Information

License Number
MD7319
License State
RI
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boris Skurkovich, MD?

The NPI number of Boris Skurkovich, MD is 1558343467. It was assigned on November 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Boris Skurkovich, MD?

Boris Skurkovich, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in RI under license number MD7319.

Where does Boris Skurkovich, MD practice?

The practice location is 239 Cranston St, Providence, RI 02907-2406. The office can be reached at 401-444-0580 (phone) or 401-444-0428 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558343467 directly on the NPPES registry website.

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