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Bayside Primary Care Llc
Specialist in Prince Frederick, Maryland
NPI 1093834830

Bayside Primary Care Llc is a Specialist based in Prince Frederick, MD. Bayside Primary Care Llc practices in Prince Frederick, MD. The NPI Number for Bayside Primary Care Llc is 1093834830 and holds a License No. R126934 (Maryland).

The current practice location address for Bayside Primary Care Llc is 301 Steeple Chase Dr, Prince Frederick, MD and can be reached out via phone at 410-414-5633 and via fax at 410-414-5911.

Location: 301 Steeple Chase Dr, Prince Frederick, MD, 20678-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093834830
Provider Name
Bayside Primary Care Llc
Credential
Provider Entity Type
Organization
Address
301 Steeple Chase Dr, Prince Frederick, MD, 20678-4049
Phone Number
410-414-5633
Fax Number
410-414-5911
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410114600 05 MD
institution
Provider Business Practice Location Address Details
Address
301 Steeple Chase Dr
City
Prince Frederick
State
Maryland
Zip
20678-4049
Phone Number
410-414-5633
Fax Number
410-414-5911
person
Provider Business Mailing Address Details
Address
301 Steeple Chase Dr
City
Prince Frederick
State
Maryland
Zip
20678-4049
Phone Number
410-414-5633
Fax Number
410-414-5911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R126934 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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