# BAYSIDE OBSTETRICS GYNECOLOGY AND INFERTILITY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayside OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932192879
- **Authorized official:** TIMOTHY J WEIBEL M.D. (PRESIDENT)
- **Authorized official phone:** (814) 456-2229

## Contact information

- **Practice address:** 104 E 2ND ST, 3RD FLOOR, ERIE, PA 16507-1532
- **Practice address phone:** (814) 456-2229
- **Practice address fax:** (814) 455-8635
- **Mailing address:** 104 E 2ND ST, 3RD FLOOR, ERIE, PA 16507-1532
- **Mailing address phone:** (814) 456-2229
- **Mailing address fax:** (814) 455-8635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 09/10/2009