NPI 1154648863
Bayside Podiatry P.A.
Practice location
- Address
- 326 Main St, Cumberland Center, ME 04021-3904
- Phone
- (207) 829-6463
- Fax
- (207) 829-6513
- Mailing address
- 326 Main St PO Box 125, Cumberland Center, ME 04021-3904
Authorised official
- Name
- Russell John Rybka
- Title
- President/ Owner
- Phone
- (207) 829-6463
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1154648863
- Entity type
- Organization
- NPI issued
- 21 Apr 2010
- Record last updated
- 21 Apr 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.