OrganizationActive
Bayside Endoscopy Center, LLC
NPI 1720085657 · Endoscopy Clinic/Center · Providence, RI
Provider details
- NPI number
- 1720085657
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jennifer Baldock, Officer and Authorized Official
- License
- FAS01011 (RI)
Practice location
33 Staniford St
Providence, RI 02905-3105
Phone: (401) 274-1810
Fax: (401) 273-9689
Mailing address
33 Staniford St
Providence, RI 02905-3105
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2023-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.