1043299316 NPI number — JEFFREY H. BAYBICK, MD PC

Table of content: (NPI 1043299316)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043299316 NPI number — JEFFREY H. BAYBICK, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEFFREY H. BAYBICK, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BAYLABS
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043299316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 64546
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21264-4546
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-364-2550
Provider Business Mailing Address Fax Number:
240-364-9040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 TELSA DR
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
BOWIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20715-4320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-987-8001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BAYBICK
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-987-8001

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)