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NPI Code Detail

MEDICARE: HARFORD GASTROENTEROLOGY ASSOCIATES PA

MEDICARE: HARFORD GASTROENTEROLOGY ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician

General Provider Information

NPI Number : 1184445090
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARFORD GASTROENTEROLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1283
Country : US
Telephone Number : 443-347-4700
Fax Number : 443-643-4707
Provider Business Practice Location Address
First Line : 2214 OLD EMMORTON RD STE 100A
Second Line :
City : BEL AIR
State : MD
Zip : 21015-6470
Country : US
Telephone Number : 443-347-4700
Fax Number : 443-643-4707
Authorized Official
Title or Position : PRESIDENT
Name : ASHEESH SOOD
Credential : MD
Telephone Number : 443-347-4700
Provider Enumeration Date : 10/23/2024
Last Update Date : 06/12/2026

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