Individual
EREALDA PRENDAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2403
(336) 713-4500
(336) 716-4501
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP02261
RI
2080P0206X
Pediatric Gastroenterology Physician
Primary
2022-01870
NC
2080P0206X
Pediatric Gastroenterology Physician
274839
NY
Other
Enumeration date
05/23/2011
Last updated
12/07/2022
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