| Organization Name: | BAY STATE MEDICAL, INC |
| NPI Number: | 1245460039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL R SCHAUB (PRESIDENT) |
| Mailing Address: | 23475 Rock Haven Way Suite 120 Dulles |
| State: | VA US |
| Postal Code: | 201664444 |
| Phone Number: | 8006430268 |
| Fax Number: | 8006433577 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 0206009130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |