Individual
DR. ELLIOT DAMIAN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3904
(336) 716-9253
(336) 713-4501
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-00814
NC
208000000X
Pediatrics Physician
205195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190331
—
MA
01
—
205195
TUFTS
MA
01
—
J23613
BCBS
MA
Enumeration date
11/15/2005
Last updated
08/30/2022
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