Healthcare Provider Details

I. General information

NPI: 1770298705
Provider Name (Legal Business Name): ALINA GABRIELA SOFRONESCU PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL CENTRAL BLVD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

3226 GINGER CREEK LN
WINSTON SALEM NC
27107-8698
US

V. Phone/Fax

Practice location:
  • Phone: 402-547-9371
  • Fax:
Mailing address:
  • Phone: 402-547-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0104X
TaxonomyChemical Pathology Physician
License Number4030
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: