| Bay Shore Pediatrics | |
|
130 Hospital Rd Suite 207 Prince Frederick MD 20678 | |
| (410) 535-5959 | |
| (410) 414-4662 |
| Full Name | Bay Shore Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 130 Hospital Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Michael A. Skolnick (PRACTICE MANAGER) |
| Authorized Official Contact | 4105355959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Shore Pediatrics P.o. Box 3509 Prince Frederick MD 20678 Ph: (410) 535-5959 | Bay Shore Pediatrics 130 Hospital Rd Suite 207 Prince Frederick MD 20678 Ph: (410) 535-5959 |
| NPI Number | 1417179771 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417179771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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