Bayside Endoscopy Center, LLC
NPI #1720085657 in Providence, Rhode Island
Provider Information
- NPI Number
- 1720085657
- Entity Type
- Organization
- Organization Name
- Bayside Endoscopy Center, LLC
- Primary Specialty
- Clinic/Center - Endoscopy
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 33 STANIFORD ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02905-3105
- Phone
- (401) 274-1810
Authorized Official
- Name
- JENNIFER BOYD BALDOCK
- Title
- OFFICER AND AUTHORIZED OFFICIAL
- Phone
- (615) 234-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Endoscopy — Endoscopy |
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