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Organization
BAYSIDE PEDIATRICS-FULTON, LLC
Active
Organization
BAYSIDE PEDIATRICS-FULTON, LLC
Active
Parent organization
NOLD AND ESCOBOSA P A
Other names
Bayside Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOLD AND ESCOBOSA P A
Authorized official
JEFFREY NOLD DO (OWNER)
(410) 224-3848
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD STE 145, FULTON, MD 20759-2565
(410) 224-7667
Mailing address
2024 WEST ST STE 400, ANNAPOLIS, MD 21401-3552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053488841
—
MD
05
—
1326096678
—
MD
05
—
1376029389
—
MD
05
—
1407992407
—
MD
05
—
1528104452
—
MD
05
—
1710054598
—
MD
05
—
1942725064
—
MD
Enumeration date
04/29/2020
Last updated
08/10/2022
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