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Organization
BAYY HOSPITALIST MEDICAL GROUP, LLC
Active
Organization
BAYY HOSPITALIST MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA M. TILLY M.D. (AUTHORIZED OFFICIAL)
(301) 775-3272
Entity
Organization
Contact information
Practice address
912D MARKET ST, DENTON, MD 21629-2141
(301) 775-3272
Mailing address
16800 QUEEN ANNE BRIDGE RD, BOWIE, MD 20716-3433
(301) 775-3272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
09/03/2014
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