# BAY MEDICAL SYSTEMS ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154804698
- **Authorized official:** JOSEPH CHELALES (ADMINISTRATOR)
- **Authorized official phone:** (646) 285-4035

## Contact information

- **Practice address:** 29 MAIN ST STE 101, MILLBURY, MA 01527-2005
- **Practice address phone:** (508) 388-5563
- **Practice address fax:** (508) 635-9658
- **Mailing address:** PO BOX 1687, LAKE WORTH, FL 33460-1687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2018
- **Last updated:** 09/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | XX-XXX5436 | TIN | MA |