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Contact Information

MARTIN BYDALEK, MD
2819 DENNY AVE
PASCAGOULA, MS39581
 Phone: 228-762-3466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARTIN BYDALEK · (Male)

NPI Number 1609926211
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2007
Last updated 02/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 10633
  • MS License # MS10633
  • AL Medicaid 008605220
  • MS Medicaid 00015597
  • Other 646000515 BLUE CROSS OF MS
  • Other 930026514 RAILROAD MEDICARE
  • Other 646000515 TRICARE
  • MS Other 386693YKC0 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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