| Bayon Medical Group Llc | |
|
280 Union St Ste 402 Lynn MA 01901-1353 | |
| (857) 452-6356 | |
| (888) 390-9437 |
| Full Name | Bayon Medical Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 280 Union St Ste 402, Lynn, Massachusetts |
| Authorized Official Name and Position | Vladimir Batrin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8574526356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayon Medical Group Llc 280 Union St Ste 402 Lynn MA 01901-1353 Ph: (857) 452-6356 | Bayon Medical Group Llc 280 Union St Ste 402 Lynn MA 01901-1353 Ph: (857) 452-6356 |
| NPI Number | 1740769728 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740769728 | NPI | - | NPPES |
| 110120791B | Medicaid | MA | |
| 110120791A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5297 (Massachusetts) | Primary |
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