Organization
HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC
Active
Other names
Howard County Gastrointestinal Diagnostic Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 120, COLUMBIA, MD 21044-2858
(410) 772-7345
(410) 772-8860
Mailing address
10710 CHARTER DR, SUITE 120, COLUMBIA, MD 21044-2858
(410) 772-7345
(410) 772-8860
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A1342
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8362033 00
—
MD
Enumeration date
08/09/2006
Last updated
02/26/2026
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