Provider Demographics
NPI:1346045705
Name:HAROLD J BAYONNE JR MD APMC
Entity type:Organization
Organization Name:HAROLD J BAYONNE JR MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYONNE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-855-3291
Mailing Address - Street 1:1613 LOUISVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6027
Mailing Address - Country:US
Mailing Address - Phone:318-855-3291
Mailing Address - Fax:318-737-7039
Practice Address - Street 1:1613 LOUISVILLE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6027
Practice Address - Country:US
Practice Address - Phone:318-855-3291
Practice Address - Fax:318-737-7039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty