Bayside Medical Llc | |
643 W Birdie Ln Magnolia DE 19962-3115 | |
(302) 233-6698 | |
Not Available |
Full Name | Bayside Medical Llc |
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Speciality | Clinic/center - Primary Care |
Location | 643 W Birdie Ln, Magnolia, Delaware |
Authorized Official Name and Position | Emily Heishman (OWNER) |
Authorized Official Contact | 3022336698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bayside Medical Llc 643 W Birdie Ln Magnolia DE 19962-3115 Ph: (302) 233-6698 | Bayside Medical Llc 643 W Birdie Ln Magnolia DE 19962-3115 Ph: (302) 233-6698 |
NPI Number | 1730792565 |
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Provider Enumeration Date | 08/31/2020 |
Last Update Date | 08/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730792565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |