WELLINGTON PROVIDER GROUP PC

BRIDGEPORT, CT
NPI1043922321
Entity TypeOrganization
Authorized ContactMARIELA BRAVO
Credentialing Team Lead
859-518-8817
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
WELLINGTON PROVIDER GROUP PC
1000 LAFAYETTE BLVD STE 1100
BRIDGEPORT, CT 06604-4710
Phone number: 859-518-8817
Mailing Address
WELLINGTON PROVIDER GROUP PC
535 WELLINGTON WAY STE 330
LEXINGTON, KY 40503-1331
Phone number: 859-518-8817
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