Ismael Roldan Goco in Winston Salem - Specialist
Ismael Roldan Goco - NPI 1619991775
Ismael Roldan Goco is a Specialist in Winston Salem, North Carolina. Ismael Roldan Goco practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ismael Roldan Goco is 1619991775. The last update date is 2007-07-08.
Ismael Roldan Goco's current location address is 790 Highland Oaks Dr., Winston Salem, North Carolina. You can contact this provider via phone number 3367684710 and fax number 3366599845. The mailing address for Ismael Roldan Goco is 790 Highland Oaks Dr., Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ismael Roldan Goco |
---|---|
Address | 790 Highland Oaks Dr., Winston Salem, North Carolina |
Phone Number | 3367684710 |
Fax Number | 3366599845 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1619991775 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 790 Highland Oaks Dr. |
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City | Winston Salem |
State | North Carolina (NC) |
Post Code | 27103 |
Phone Number | 3367684710 |
Fax Number | 3366599845 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 13457 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8936055 | NC | -- | |
36055 | NC | BCBS OF NC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ismael Roldan Goco by the Centers for Medicare & Medicaid Services?
The Ismael Roldan Goco has been issued the NPI (National Provider Identifier) 1619991775 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ismael Roldan Goco?
The Ismael Roldan Goco is situated at 790 Highland Oaks Dr., in the city of Winston Salem, state of NC, with the zip code 27103.
What is the area of specialization for Ismael Roldan Goco, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ismael Roldan Goco is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Ismael Roldan Goco receive the assignment of its 1619991775 from the Centers for Medicare & Medicaid Services?
The Ismael Roldan Goco was issued its 1619991775 by the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information regarding Ismael Roldan Goco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ismael Roldan Goco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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