Provider Demographics
NPI:1184445090
Name:HARFORD GASTROENTEROLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:HARFORD GASTROENTEROLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHEESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-347-4700
Mailing Address - Street 1:100 WALTER WARD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1283
Mailing Address - Country:US
Mailing Address - Phone:443-347-4700
Mailing Address - Fax:443-643-4707
Practice Address - Street 1:2214 OLD EMMORTON RD STE 100A
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6470
Practice Address - Country:US
Practice Address - Phone:443-347-4700
Practice Address - Fax:443-643-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology