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Individual

NANCY SMUKLER ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1009
(336) 716-4357
(336) 716-7595
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4357
(336) 716-7595

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
32407
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2016-02046
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0179499
IA
05
1174499
IA
01
33951
WELLMARK BCBS
IA
01
46326
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
08/06/2021
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