Bayside Pediatrics-Fulton, LLC

NPI #1881215994 in Fulton, Maryland

Provider Information

NPI Number: 1881215994
Entity Type: Organization
Organization Name: Bayside Pediatrics-Fulton, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NOLD AND ESCOBOSA P A
Primary Specialty: Pediatrics
Enumeration Date: Apr 29, 2020
Last Updated: Aug 10, 2022

Practice Location

Address: 7625 MAPLE LAWN BLVD STE 145
City: Fulton
State: Maryland
ZIP Code: 20759-2565
Phone: (410) 224-7667

Authorized Official

Name: JEFFREY NOLD, DO
Title: OWNER
Phone: (410) 224-3848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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