Healthcare Provider Details

I. General information

NPI: 1578492336
Provider Name (Legal Business Name): HARFORD GASTROENTEROLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 SANDPIPER CIR STE 100
NOTTINGHAM MD
21236-5028
US

IV. Provider business mailing address

100 WALTER WARD BLVD STE 100
ABINGDON MD
21009-1283
US

V. Phone/Fax

Practice location:
  • Phone: 443-347-4700
  • Fax: 443-643-4707
Mailing address:
  • Phone: 443-347-4700
  • Fax: 410-452-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEANNE GAYLE
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 443-483-3022