Healthcare Provider Details

I. General information

NPI: 1730113358
Provider Name (Legal Business Name): ERICA E. BAYLY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 POND PARK RD. STE. 102
HINGHAM MA
02043-4309
US

IV. Provider business mailing address

2 POND PARK RD. STE. 102
HINGHAM MA
02043-4309
US

V. Phone/Fax

Practice location:
  • Phone: 781-337-5555
  • Fax: 781-331-0300
Mailing address:
  • Phone: 781-337-5555
  • Fax: 781-331-0300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number238635
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number238635
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number238635
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: