Organization
BAYSIDE ENDOSCOPY CENTER, LLC
Active
Other names
Ocean State Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
148 W RIVER ST, SUITE 3, PROVIDENCE, RI 02904-2615
(401) 274-1260
(401) 453-0330
Mailing address
340 SEVEN SPRINGS WAY STE 600, BRENTWOOD, TN 37027-5605
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
FAS01015
RI
Other
Enumeration date
10/12/2006
Last updated
03/21/2024
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