Provider Demographics
NPI:1043299316
Name:JEFFREY H. BAYBICK, MD PC
Entity Type:Organization
Organization Name:JEFFREY H. BAYBICK, MD PC
Other - Org Name:BAYLABS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAYBICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-987-8001
Mailing Address - Street 1:PO BOX 64546
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4546
Mailing Address - Country:US
Mailing Address - Phone:240-364-2550
Mailing Address - Fax:240-364-9040
Practice Address - Street 1:4801 TELSA DR
Practice Address - Street 2:SUITE G
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4320
Practice Address - Country:US
Practice Address - Phone:410-987-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01341Medicare ID - Type Unspecified