Mrs. Jacalyn Gordon Ginsberg
Pediatrician Adolescent Medicine
844 Ritchie Hwy Suite 206
Severna Park
, Maryland 21176
Mrs. Jacalyn Gordon Ginsberg
Pediatrician Adolescent Medicine
844 Ritchie Hwy Suite 206
Severna Park
, Maryland 21176
(410) 315-8444
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Jacalyn Gordon Ginsberg
- 844 Ritchie Hwy Suite 206
- Severna Park, MD
- Zip : 21176
- Fax : (410) 315-8444
- Phone : (410) 647-8306
Second Address
- Mrs. Jacalyn Gordon Ginsberg
- 844 Ritchie Hwy Suite 206
- Severna Park, MD
- Zip : 21176
- Fax : (410) 315-8444
- Phone : (410) 647-8306
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FAQs
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Is Mrs. Jacalyn Gordon Ginsberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | H51249 | MD |
| N | 2080A0000X | Adolescent Medicine | H51249 | MD |
National Provider Identifier
| NPI | 1053383117 |
|---|---|
| Provider Name | Mrs. Jacalyn Gordon Ginsberg |
| First Address | Severna Park, MD 21176 |
| Second Address | Severna Park, MD 21176 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 08795 | PHN (01) | |
| 11120 | BS POS (01) | |
| BB534445 | DEA # (01) | |
| G65954 | (02) | |
| H51249 | MD LICENSE # (01) | |
| OH64 | BS (01) | |
| T5930002 | BLUE CHOICE (01) | |
| T5930002 | BSFED (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.