Individual
DR. BIANCA ROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106
(336) 251-1114
(336) 251-1114
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-01135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091J
BLUE CROSS AND BLUE SHIEL
NC
05
—
891091J
—
NC
01
—
8917688
CIGNA HEALTHCARE
NC
Enumeration date
03/23/2006
Last updated
09/09/2019
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