Organization
BAYSIDE HOUSE CALL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D LAVIS DO (PRESIDENT)
(800) 513-3680
Entity
Organization
Contact information
Practice address
2 E 14TH ST, OCEAN CITY, NJ 08226-3102
(800) 513-3680
(888) 503-8365
Mailing address
2 E 14TH ST, OCEAN CITY, NJ 08226-3102
(800) 513-3680
(888) 503-8365
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
25MB03241600
NJ
Other
Enumeration date
06/09/2011
Last updated
07/19/2011
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