Provider Demographics
NPI:1861471146
Name:BAYBICK, JEFFREY H (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:H
Last Name:BAYBICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 TELSA DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4323
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:
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD35389207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39369Medicare UPIN