# BAYSIDE FAMILY PRACTICE,L.L.C.

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

## Provider details

- **NPI number:** 1700068160
- **Authorized official:** DR. JENNIFER ANNE HOLLYWOOD M.D. (PHYSICIAN)
- **Authorized official phone:** (410) 690-8855

## Contact information

- **Practice address:** 538 CYNWOOD DR STE 2, EASTON, MD 21601-3887
- **Practice address phone:** (410) 690-8855
- **Practice address fax:** (833) 606-0499
- **Mailing address:** 538 CYNWOOD DR STE 2, EASTON, MD 21601-3887
- **Mailing address phone:** (410) 690-8855
- **Mailing address fax:** (833) 606-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0046820 | MD | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 06/23/2026