# BAYSIDE MEDICAL

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

## Provider details

- **NPI number:** 1477598233
- **Authorized official:** MRS. JAMISEN MCINTIRE (BILLING MANAGER)
- **Authorized official phone:** (410) 250-9985

## Contact information

- **Practice address:** 13111 COASTAL HWY, OCEAN CITY, MD 21842-4623
- **Practice address phone:** (410) 250-9985
- **Mailing address:** 13111 COASTAL HWY, OCEAN CITY, MD 21842-4623
- **Mailing address phone:** (410) 250-9985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 12/17/2010