| NPI | 1275585739 |
|---|---|
| Doing Business As | BRIDGEPORT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL ROMANO Owner 304-848-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1675) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-20 |