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Organization

ANGELA L WINGATE MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA LYNN WINGATE MD (SOLE PROPRIETOR)
(802) 442-0158
Entity
Organization

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
00029207
BLUE CROSS BLUE SHIELD
VT
01
00049901
BLUE CROSS BLUE SHIELD
VT
01
08328
MVP
VT
05
0NP2167
VT
05
0VN2535
VT
01
10053531
CDPHP
VT
01
319096
MVP
VT
01
415181
LADIES FIRST
VT
01
4849277
CIGNA
VT
01
50118000109
FIDELIS
VT
01
5348525
CIGNA
VT
01
7694525
AETNA
VT
01
8000201
LADIES FIRST
VT
Enumeration date
02/20/2007
Last updated
08/22/2020
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