Healthcare Provider Details

I. General information

NPI: 1376657056
Provider Name (Legal Business Name): JAMES CUSHING BAYLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 CAMBRIDGE ST # CCP-9 BONE AND JOINT CENTER
BOSTON MA
02135-2907
US

IV. Provider business mailing address

736 CAMBRIDGE ST # CCP-9 BONE AND JOINT CENTER
BOSTON MA
02135-2907
US

V. Phone/Fax

Practice location:
  • Phone: 617-779-6500
  • Fax: 617-779-6555
Mailing address:
  • Phone: 617-779-6500
  • Fax: 617-779-6555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number46492
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: