Provider Demographics
NPI:1356087753
Name:BAY PEDIATRIC CENTER
Entity type:Organization
Organization Name:BAY PEDIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AM
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BRITTINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-763-8272
Mailing Address - Street 1:606 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3305
Mailing Address - Country:US
Mailing Address - Phone:410-763-8272
Mailing Address - Fax:410-763-6014
Practice Address - Street 1:606 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3305
Practice Address - Country:US
Practice Address - Phone:410-763-8272
Practice Address - Fax:410-763-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty