Organization
BAYY HOSPITALIST MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA M. TILLY M.D. (AUTHORIZED OFFICIAL)
(301) 775-3272
Entity
Organization
Contact information
Practice address
912D MARKET ST, DENTON, MD 21629-2141
(301) 775-3272
Mailing address
16800 QUEEN ANNE BRIDGE RD, BOWIE, MD 20716-3433
(301) 775-3272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
09/03/2014
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