Individual
MICHAEL VITO ROCCO
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
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004379000
—
WV
01
—
5019
PARTNERS
—
01
—
5748377
AETNA
—
01
—
58474
MEDCOST
—
05
—
6058272
—
VA
01
—
72772
BCBS
—
05
—
8972772
—
NC
05
—
Q33884
—
SC
Enumeration date
12/12/2005
Last updated
01/07/2008
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