Individual
ANGELA WINGATE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
(802) 442-0158
(802) 442-0160
Mailing address
209 WASHINGTON AVE, BENNINGTON, VT 05201-2312
(802) 442-0158
(802) 442-0160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010148
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049901
BC/BS
VT
01
—
08328
MVP
—
05
—
0VN2535
—
VT
01
—
10053531
CDPHP
—
01
—
50118000109
FIDELITY
—
01
—
5348525
CIGNA
—
01
—
7694525
AETNA
—
Enumeration date
07/28/2005
Last updated
07/08/2007
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