Provider Demographics
NPI:1528663580
Name:BAYUL, TENZIN NYESANG (PHARMD,MPH)
Entity type:Individual
Prefix:MRS
First Name:TENZIN
Middle Name:NYESANG
Last Name:BAYUL
Suffix:
Gender:F
Credentials:PHARMD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-1752
Mailing Address - Country:US
Mailing Address - Phone:781-263-7234
Mailing Address - Fax:
Practice Address - Street 1:25 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-1752
Practice Address - Country:US
Practice Address - Phone:781-263-7234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist