Organization
BAY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P HERRON (CTO)
(301) 855-8199
Entity
Organization
Contact information
Practice address
8285 HARRISON BLVD, CHESAPEAKE BEACH, MD 20732-4604
(301) 855-8199
(301) 855-3448
Mailing address
8285 HARRISON BLVD, CHESAPEAKE BEACH, MD 20732-4604
(301) 855-8199
(301) 855-3448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689147043
—
VA
05
—
717022000
—
MD
Enumeration date
01/09/2019
Last updated
10/29/2021
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