Organization
BAYSIDE FAMILY PRACTICE,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANNE HOLLYWOOD M.D. (PHYSICIAN)
(410) 763-8999
Entity
Organization
Contact information
Practice address
538 CYNWOOD DR STE 2, EASTON, MD 21601-3887
(410) 763-8999
(410) 763-6949
Mailing address
538 CYNWOOD DR STE 2, EASTON, MD 21601-3887
(410) 763-8999
(410) 763-6949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0046820
MD
Other
Enumeration date
11/28/2007
Last updated
12/12/2007
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