| Bayside Medical Llc | |
|
643 W Birdie Ln Magnolia DE 19962-3115 | |
| (302) 233-6698 | |
| Not Available |
| Full Name | Bayside Medical Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |