Organization
PRIMECARE PEDIATRICS
Active
Other names
Jay J Gopal MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY J GOPAL MD (CEO)
(410) 554-2919
Entity
Organization
Contact information
Practice address
201 E UNIVERSITY PKWY, 33RD ST. PROF. BLDG., SUITE 233, BALTIMORE, MD 21218-2829
(410) 554-2919
(410) 554-2570
Mailing address
201 E UNIVERSITY PKWY, 33RD ST. PROF., BLDG, SUITE 233, BALTIMORE, MD 21218-2829
(410) 554-2919
(410) 554-2570
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407823776
GR. GOPAL INDETUAL NPI #
MD
Enumeration date
04/09/2007
Last updated
04/02/2010
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