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Dr. Ismael Roldan Goco, MD
Specialist in Winston Salem, North Carolina
NPI 1619991775

Ismael Roldan Goco is a Specialist based in Winston Salem, NC. Ismael Roldan Goco practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Ismael Roldan Goco is 1619991775 and holds a License No. 13457 (North Carolina).

The current practice location address for Ismael Roldan Goco is 790 Highland Oaks Dr., Winston Salem, NC and can be reached out via phone at 336-768-4710 and via fax at 336-659-9845.

Location: 790 Highland Oaks Dr., Winston Salem, NC, 27103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619991775
Provider Name
Ismael Roldan Goco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
790 Highland Oaks Dr., Winston Salem, NC, 27103
Phone Number
336-768-4710
Fax Number
336-659-9845
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8936055 05 NC
36055 01 NC BCBS OF NC
institution
Provider Business Practice Location Address Details
Address
790 Highland Oaks Dr.
City
Winston Salem
State
North Carolina
Zip
27103
Phone Number
336-768-4710
Fax Number
336-659-9845
person
Provider Business Mailing Address Details
Address
790 Highland Oaks Dr.
City
Winston Salem
State
North Carolina
Zip
27103
Phone Number
336-768-4710
Fax Number
336-659-9845
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
13457 (North Carolina)
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.
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