Organization
BAYSIDE NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A HOSLEY M.D., PH.D. (OWNER)
(508) 984-0050
Entity
Organization
Contact information
Practice address
1071 KEMPTON ST, NEW BEDFORD, MA 02740-1529
(508) 984-0050
(508) 984-0049
Mailing address
1071 KEMPTON ST, NEW BEDFORD, MA 02740-1529
(508) 984-0050
(508) 984-0049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9785167
—
MA
Enumeration date
08/17/2006
Last updated
05/15/2008
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