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MERCEDES POROSNICU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
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) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NC
207RH0000X
Hematology (Internal Medicine) Physician
NC
207RX0202X
Medical Oncology Physician
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10280001
VA
01
142GY
BCBS
01
188991
MEDCOST
05
3810005521
WV
05
5905402
NC
01
7839822
AETNA
01
808512
PARTNERS
01
P00367370
RR MEDICARE
Enumeration date
05/26/2006
Last updated
01/09/2008
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