Individual
AMY ROSEANNE BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-7041
(336) 718-9622
Mailing address
1801 WESTCHESTER DR, HIGH POINT, NC 27262-7009
(336) 889-8446
(336) 878-7275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200200322
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
200200322
NC
208M00000X
Hospitalist Physician
200200322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238916
RAILROAD MEDICARE
NC
01
—
131GB
BCBS
NC
05
—
1598736134
—
VA
01
—
200866
MEDCOST
NC
05
—
89131G8
—
NC
01
—
P00479034
RAILROAD MEDICARE
NC
Enumeration date
01/31/2006
Last updated
06/19/2023
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