# ANGELA L WINGATE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902941917
- **Authorized official:** DR. ANGELA LYNN WINGATE MD (SOLE PROPRIETOR)
- **Authorized official phone:** (802) 442-0158

## Contact information

- **Practice address:** 209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
- **Practice address phone:** (802) 442-0158
- **Practice address fax:** (802) 442-0160
- **Mailing address:** 209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
- **Mailing address phone:** (802) 442-0158
- **Mailing address fax:** (802) 442-0160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0420010148 | VT | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020