Individual
DR. JONATHAN LEE BAYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
269 LOCUST ST, SUITE 201, NORTHAMPTON, MA 01062-2003
(413) 586-0769
(413) 584-0392
Mailing address
269 LOCUST ST, SUITE 201, NORTHAMPTON, MA 01062-2003
(413) 586-0769
(413) 584-0392
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
223052
MA
207R00000X
Internal Medicine Physician
223052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110040659/A
—
MA
01
—
P00470879
RR MEDICARE
MA
Enumeration date
02/13/2006
Last updated
02/13/2015
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