# PRIMECARE PEDIATRICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jay J Gopal MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285757971
- **Authorized official:** DR. JAY J GOPAL MD (CEO)
- **Authorized official phone:** (410) 554-2919

## Contact information

- **Practice address:** 201 E UNIVERSITY PKWY, 33RD ST. PROF. BLDG., SUITE 233, BALTIMORE, MD 21218-2829
- **Practice address phone:** (410) 554-2919
- **Practice address fax:** (410) 554-2570
- **Mailing address:** 201 E UNIVERSITY PKWY, 33RD ST. PROF., BLDG, SUITE 233, BALTIMORE, MD 21218-2829
- **Mailing address phone:** (410) 554-2919
- **Mailing address fax:** (410) 554-2570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 04/02/2010