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Organization

HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC

Active
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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 STE 120, COLUMBIA, MD 21044-3258
(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
06/19/2026
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