Organization · NPI-2

Bayen Medical Associates, PA

Internal Medicine · Gastonia, NC

NPI number1073517652
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1073517652
Entity type
Organization (NPI-2)
Legal business name
Bayen Medical Associates, PA
Organization subpart
No
Enumeration date
Jun 10, 2005
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine–NCYes

Other names

  • Cramerton Clinic (Doing Business As)

Practice location

1343 E Garrison Blvd
Ste A
Gastonia, NC 28054-5137

Phone 704-861-9117 · Fax 704-861-0142

Mailing address

1343 E Garrison Blvd
Ste A
Gastonia, NC 28054-5137

Phone 704-861-9117 · Fax 704-861-0142

Authorized official

Edwin Sido
Business Manager
7048619117

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