Basic Information
Provider Information
NPI: 1316952872
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SKARBEK-BOROWSKA
FirstName: SARA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2211 LOMAS BLVD NE
Address2: MSC11 6025
City: ALBUQUERQUE
State: NM
PostalCode: 871062745
CountryCode: US
TelephoneNumber: 5052725062
FaxNumber: 5059254726
Practice Location
Address1: 2211 LOMAS BLVD NE
Address2: MSC11 6025
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052725062
FaxNumber: 5059254726
Other Information
ProviderEnumerationDate: 07/30/2006
LastUpdateDate: 02/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0204X2005-0550NMY Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine

No ID Information.


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