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 |