Organization
BAYEN MEDICAL ASSOCIATES, PA
Active
Organization
BAYEN MEDICAL ASSOCIATES, PA
Active
Other names
Cramerton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN SIDO (BUSINESS MANAGER)
(704) 861-9117
Entity
Organization
Contact information
Practice address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
(704) 861-0142
Mailing address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
(704) 861-0142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291G
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/10/2005
Last updated
07/21/2022
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