| NPI | 1619176302 |
|---|---|
| Doing Business As | BRIDGEPORT PHYSICIANS CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN C FORESTER Chief Executive Officer 304-624-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-01-08 |