Organization
JIN GU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN GU MD (OWNER PRESIDENT)
(410) 828-8005
Entity
Organization
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 PIN #
—
05
—
004301000
—
MD
01
—
0928824
KEYS GROUP #
—
01
—
2504440
AHMO PIN #
—
01
—
5004985
CGNA PIN #
—
01
—
60924901
BSMD PIN #
—
01
—
7592182
ANHM GROUP #
—
01
—
81709
COV PIN #
—
01
—
928824
BSPA GROUP #
—
01
—
F376
BSDC GROUP #
—
01
—
KEG4JI
BSMD GROUP #
—
Enumeration date
08/11/2006
Last updated
12/27/2011
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