| Jin Gu Md Pa | |
|
7505 Osler Dr Suite 312 Towson MD 21204-7736 | |
| (410) 828-8005 | |
| (410) 828-0537 |
| Full Name | Jin Gu Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7505 Osler Dr, Towson, Maryland |
| Authorized Official Name and Position | Jin Gu (OWNER PRESIDENT) |
| Authorized Official Contact | 4108288005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Gu Md Pa 7505 Osler Dr Suite 312 Towson MD 21204-7736 Ph: (410) 828-8005 | Jin Gu Md Pa 7505 Osler Dr Suite 312 Towson MD 21204-7736 Ph: (410) 828-8005 |
| NPI Number | 1811908817 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 12/27/2011 |
| Medicare PECOS PAC ID | 3678646742 |
|---|---|
| Medicare Enrollment ID | O20080723000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811908817 | NPI | - | NPPES |
| 60924901 | Other | BSMD PIN # | |
| F376 | Other | BSDC GROUP # | |
| 5004985 | Other | CGNA PIN # | |
| 7592182 | Other | ANHM GROUP # | |
| 004301000 | Medicaid | MD | |
| 0928824 | Other | KEYS GROUP # | |
| 2504440 | Other | AHMO PIN # | |
| 2504440 | Other | AHMO GROUP # | |
| 928824 | Other | BSPA GROUP # | |
| KEG4JI | Other | BSMD GROUP # | |
| 7592182 | Other | ANHM PIN # | |
| 81709 | Other | COV PIN # | |
| 0001 | Other | BSDC PIN # | |
| 5004985 | Other | CGNA GROUP # | |
| 81709 | Other | COV GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D56623 (Maryland) | Primary |
| Provider Name | Jin Gu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154420727 PECOS PAC ID: 3375617186 Enrollment ID: I20120502000048 |
Walter B Koppel Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Lasalle Rd, Suite #202, Towson, MD 21286 Phone: 443-279-0330 Fax: 443-279-0334 | |
Nze Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd Ste 100, Towson, MD 21204 Phone: 410-494-0131 Fax: 410-825-2764 | |
Linda A Lee, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 Kenilworth Dr, Suite 206, Towson, MD 21204 Phone: 410-321-1082 | |
Trina Kapoor Frankel Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7600 Osler Dr Ste 113, Towson, MD 21204 Phone: 410-296-4040 Fax: 410-510-1680 | |
Towson Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd, Suite 102, Towson, MD 21204 Phone: 410-769-4920 Fax: 410-296-4205 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-4480 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Dr, Towson, MD 21204 Phone: 410-332-9000 |