| Well Clinic Pediatrics & Family Medicine Pc | |
|
200 Medical Parkway Suite 315 Chesapeake VA 23320 | |
| (757) 547-0588 | |
| (757) 548-8572 |
| Full Name | Well Clinic Pediatrics & Family Medicine Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 Medical Parkway Suite 315, Chesapeake, Virginia |
| Authorized Official Name and Position | Lopito B Bugarin (DR.) |
| Authorized Official Contact | 7575470588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Clinic Pediatrics & Family Medicine Pc 200 Medical Pkwy Ste 315 Chesapeake VA 23320-4911 Ph: (757) 547-0588 | Well Clinic Pediatrics & Family Medicine Pc 200 Medical Parkway Suite 315 Chesapeake VA 23320 Ph: (757) 547-0588 |
| NPI Number | 1730618091 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730618091 | NPI | - | NPPES |
| 190000714 | Other | VA | MEDICARE PIN |
| H04227 | Other | VA | MEDICARE UPIN |
| 190000714 | Other | VA | MEDICARE OSCAR/CERTIFICATION |
| 005605423 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101222102 (Virginia) | Primary |
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