# BAY STATE MEDICAL, INC.

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

## Provider details

- **NPI number:** 1881699049
- **Authorized official:** MR. DANIEL R SCHAUB (PRESIDENT)
- **Authorized official phone:** (410) 859-2366

## Contact information

- **Practice address:** 7271 PARK CIRCLE DR, HANOVER, MD 21076-1325
- **Practice address phone:** (410) 859-2366
- **Practice address fax:** (410) 859-3002
- **Mailing address:** 7271 PARK CIRCLE DR, HANOVER, MD 21076-1325
- **Mailing address phone:** (410) 859-2366
- **Mailing address fax:** (410) 859-3002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R1031 | MD | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 04/20/2008