Organization · NPI-2

Bayside Medical

Family Medicine · Ocean City, MD

NPI number1477598233
StatusActive
Last updated in NPPESDec 17, 2010

Details

NPI
1477598233
Entity type
Organization (NPI-2)
Legal business name
Bayside Medical
Organization subpart
No
Enumeration date
Jun 17, 2006
Last updated
Dec 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

13111 Coastal Hwy
Ocean City, MD 21842-4623

Phone 410-250-9985

Mailing address

13111 Coastal Hwy
Ocean City, MD 21842-4623

Phone 410-250-9985

Authorized official

Jamisen Mcintire
Billing Manager
4102509985

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