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Individual

MR. JASON C BAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
401 MARVEL CT, EASTON, MD 21601-4053
(410) 820-4449
Mailing address
401 MARVEL CT, EASTON, MD 21601-4053
(410) 820-4449

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20794
MD
225100000X
Physical Therapist
J1-0001760
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122042
PRIORITY PARTNERS
MD
05
402631400
MD
01
61734902
CAREFIRST
MD
01
61734905
CAREFIRST BC/BS MD
MD
01
810582810
MDIPA
MD
01
G5400003
BLUECHOICE/FEDERAL BC/BS
MD
Enumeration date
06/20/2006
Last updated
05/26/2022
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