| Mrs Jacalyn Gordon Ginsberg, DO | |
|
844 Ritchie Hwy, Suite 206, Severna Park, MD 21176 | |
| (410) 647-8306 | |
| (410) 315-8444 |
| Full Name | Mrs Jacalyn Gordon Ginsberg |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 844 Ritchie Hwy, Severna Park, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053383117 | NPI | - | NPPES |
| 11120 | Other | BS POS | |
| OH64 | Other | BS | |
| T5930002 | Other | BLUE CHOICE | |
| H51249 | Other | MD LICENSE # | |
| 08795 | Other | PHN | |
| T5930002 | Other | BSFED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H51249 (Maryland) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | H51249 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacalyn Gordon Ginsberg, DO 844 Ritchie Hwy, Suite 206, Severna Park, MD 21176 Ph: (410) 647-8306 | Mrs Jacalyn Gordon Ginsberg, DO 844 Ritchie Hwy, Suite 206, Severna Park, MD 21176 Ph: (410) 647-8306 |
Faith Alice Hackett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21146 Phone: 410-647-8300 Fax: 410-315-8444 | |
Karen Gayle Ganacias, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 692a Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273 | |
Dr. Robert G. Gibson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy # A, Severna Park, MD 21146 Phone: 441-054-4514 |