# JIN GU MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811908817
- **Authorized official:** DR. JIN GU MD (OWNER PRESIDENT)
- **Authorized official phone:** (410) 828-8005

## Contact information

- **Practice address:** 7505 OSLER DR, SUITE 312, TOWSON, MD 21204-7736
- **Practice address phone:** (410) 828-8005
- **Practice address fax:** (410) 828-0537
- **Mailing address:** 7505 OSLER DR, SUITE 312, TOWSON, MD 21204-7736
- **Mailing address phone:** (410) 828-8005
- **Mailing address fax:** (410) 828-0537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D56623 | MD | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 12/27/2011