Bay Healthcare LLC
Nurse Practitioner, Psych/Mental Health in Randolph, MA. Organization (NPI-2).
NPI number1659097483
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1659097483
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2022
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
81 Memorial Pkwy Ofc ARandolph, MA 02368-4505
Phone 781-926-3339
Mailing address
81 Memorial Pkwy Ofc ARandolph, MA 02368-4505
Phone 781-926-3339
Authorized official
Sulayman Zuod
Ceo/President
7819642654
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