Bayside Medical Group, INC

NPI #1689633240 in Pleasanton, California

Provider Information

NPI Number: 1689633240
Entity Type: Organization
Organization Name: Bayside Medical Group, INC
Primary Specialty: Pediatrics
Enumeration Date: Mar 22, 2006
Last Updated: Jun 4, 2010

Practice Location

Address: 5720 STONERIDGE MALL RD
Address 2: SUITE 240
City: Pleasanton
State: California
ZIP Code: 94588-2828
Phone: (925) 463-1234

Authorized Official

Name: BUDD NORMAN SHENKIN, MD
Title: OWNER/PRESIDENT
Phone: (925) 587-2505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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