Individual
JIN GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7505 OSLER DR, SUITE 312, TOWSON, MD 21204-7736
(410) 828-8005
(410) 828-0537
Mailing address
7505 OSLER DR, SUITE 312, TOWSON, MD 21204-7736
(410) 828-8005
(410) 828-0537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D56623
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BSDC
—
01
—
004301000
MAMD
—
05
—
004301000
—
MD
01
—
0403724
UNHC
—
01
—
061656057
BSPA
—
01
—
08659000000
PHN
—
01
—
0928824
KEYS
—
01
—
2100369
MOPA
—
01
—
2504440
AHMO GROUP NUMBER
—
01
—
5004985
CGNA
—
01
—
60924901
MPOS
—
01
—
7592182
ANHM
—
01
—
81709
COV
—
01
—
P00040271
MBRR
—
Enumeration date
09/21/2006
Last updated
12/21/2007
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