Organization
BAYSIDE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY HEISHMAN NP (OWNER)
(302) 233-6698
Entity
Organization
Contact information
Practice address
643 W BIRDIE LN, MAGNOLIA, DE 19962-3115
(302) 233-6698
Mailing address
643 W BIRDIE LN, MAGNOLIA, DE 19962-3115
(302) 233-6698
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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