| Organization Name: | MARYLAND CENTER FOR DIGESTIVE HEALTH |
| NPI Number: | 1043200900 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY EVANS (ADMINISTRATOR) |
| Mailing Address: | 171 Defense Hwy Annapolis |
| State: | MD US |
| Postal Code: | 214017004 |
| Phone Number: | 4105711524 |
| Fax Number: | 4102244960 |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |