Healthcare Provider Details

I. General information

NPI: 1861471146
Provider Name (Legal Business Name): JEFFREY H BAYBICK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 CHUKKER LN
CROWNSVILLE MD
21032-1927
US

IV. Provider business mailing address

1103 CHUKKER LN
CROWNSVILLE MD
21032-1927
US

V. Phone/Fax

Practice location:
  • Phone: 301-466-2076
  • Fax:
Mailing address:
  • Phone: 301-466-2076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD35389
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: