| Bayside Ob/gyn, Inc. | |
|
235 Plain St 201 Providence RI 02905-3240 | |
| (401) 421-1710 | |
| (401) 861-2164 |
| Full Name | Bayside Ob/gyn, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 235 Plain St, Providence, Rhode Island |
| Authorized Official Name and Position | Claudia A Iacobbo (PRACTICE MANAGER) |
| Authorized Official Contact | 4014211710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Ob/gyn, Inc. 235 Plain St 201 Providence RI 02905-3240 Ph: () - | Bayside Ob/gyn, Inc. 235 Plain St 201 Providence RI 02905-3240 Ph: (401) 421-1710 |
| NPI Number | 1780718056 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780718056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD6286 (Rhode Island) | Primary |
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