Individual
EDWARD BAHNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 HERRICK ST STE 101, BEVERLY, MA 01915-2734
(978) 927-4110
Mailing address
77 HERRICK ST STE 101, BEVERLY, MA 01915-2734
(978) 927-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116027984
VA
207Q00000X
Family Medicine Physician
Primary
277197
MA
Other
Enumeration date
06/08/2015
Last updated
08/22/2023
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