Individual
RODOLFO MARSHALL PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4649
(336) 716-7277
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200300679
NC
207RP1001X
Pulmonary Disease Physician
Primary
200300679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10058210
—
VA
01
—
1339X
BCBS
—
05
—
2005120000
—
WV
01
—
7049656
AETNA
—
01
—
802891
PARTNERS
—
05
—
891339X
—
NC
01
—
C6487
MEDCOST
—
01
—
P00037705
RR MEDICARE
—
05
—
Q79003
—
SC
Enumeration date
11/22/2005
Last updated
11/06/2025
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