# PAR WELLNESS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275585739
- **Authorized official:** DR. ROBERT PAUL ROMANO DO (OWNER)
- **Authorized official phone:** (304) 848-0338

## Contact information

- **Practice address:** 1221 JOHNSON AVE, SUITE 1100, BRIDGEPORT, WV 26330-1392
- **Practice address phone:** (304) 848-0338
- **Mailing address:** 1221 JOHNSON AVE, SUITE 1100, BRIDGEPORT, WV 26330-1392
- **Mailing address phone:** (304) 848-0338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1675 | WV | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 04/20/2008