Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | NC | |
Y | 111NI0900X | Internist | NC | |
N | 207RH0000X | Hematologist | NC | |
N | 207RX0202X | Medical Oncology | NC |
NPI | 1417903584 |
---|---|
Provider Name | Mercedes Porosnicu |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 09/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10280001 | (05) | VA |
142GY | BCBS (01) | |
188991 | MEDCOST (01) | |
3810005521 | (05) | WV |
5905402 | (05) | NC |
7839822 | AETNA (01) | |
808512 | PARTNERS (01) | |
P00367370 | RR MEDICARE (01) |