Organization
PAR WELLNESS CORPORATION
Active
Other names
Bridgeport Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PAUL ROMANO DO (OWNER)
(304) 848-0338
Entity
Organization
Contact information
Practice address
1221 JOHNSON AVE, SUITE 1100, BRIDGEPORT, WV 26330-1392
(304) 848-0338
Mailing address
1221 JOHNSON AVE, SUITE 1100, BRIDGEPORT, WV 26330-1392
(304) 848-0338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1675
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010298
—
WV
01
—
DF7112
RAILROAD MEDICARE
WV
Enumeration date
05/16/2006
Last updated
04/20/2008
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