Organization
BRIAN S BAYLY MD & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SEAN BAYLY M.D. (OWNER CORPORATE OFFICER)
(301) 220-0031
Entity
Organization
Contact information
Practice address
7223 HANOVER PKWY, SUITE B, GREENBELT, MD 20770-2023
(301) 220-0031
(301) 220-2240
Mailing address
7223 HANOVER PKWY, SUITE B, GREENBELT, MD 20770-2023
(301) 220-0031
(301) 220-2240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6102
CAREFIRST
—
05
—
910751700
—
MD
01
—
B770001124
RAILROAD MEDICARE
MD
Enumeration date
11/28/2006
Last updated
06/11/2008
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