Individual
CHRISTINE G. GOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 614-0609
(410) 614-8610
Mailing address
PO BOX 64588, BALTIMORE, MD 21264-4588
(410) 614-0609
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
049449
GA
207Y00000X
Otolaryngology Physician
Primary
D0066673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891954A
—
GA
05
—
015804600
—
MD
05
—
766631400
—
MD
05
—
G49449
—
SC
Enumeration date
08/30/2006
Last updated
02/07/2013
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