Organization
WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOPITO B BUGARIN MD (DR.)
(757) 547-0588
Entity
Organization
Contact information
Practice address
200 MEDICAL PARKWAY SUITE 315, CHESAPEAKE, VA 23320
(757) 547-0588
(757) 548-8572
Mailing address
200 MEDICAL PKWY STE 315, CHESAPEAKE, VA 23320-4911
(757) 547-0588
(757) 548-8572
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101222102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005605423
—
VA
01
—
190000714
MEDICARE PIN
VA
01
—
H04227
MEDICARE UPIN
VA
Enumeration date
06/08/2017
Last updated
07/21/2022
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