Healthcare Provider Details

I. General information

NPI: 1942579073
Provider Name (Legal Business Name): HARFORD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 WOODBRIDGE STATION WAY
EDGEWOOD MD
21040-3830
US

IV. Provider business mailing address

120 S HAYS ST
BEL AIR MD
21014-3615
US

V. Phone/Fax

Practice location:
  • Phone: 410-612-1779
  • Fax: 410-612-9183
Mailing address:
  • Phone: 410-877-1033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MARCY R AUSTIN
Title or Position: DEPUTY HEALTH OFFICER
Credential:
Phone: 410-877-1033