MEDICARE: JENNIFER BAYRON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD470315	PA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208600000X	Surgery Physician	308851	NY

General Provider Information

NPI Number	:	1376956532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BAYRON M.D.

Provider Business Mailing Address
First Line	:	110 W ROOSEVELT AVE
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-2563
Country	:	US
Telephone Number	:	860-518-0049
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 ROUTE 50
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-3073
Country	:	US
Telephone Number	:	518-580-2170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	07/01/2021

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