Provider Demographics
NPI:1871561043
Name:INSEL, JERALD (MD)
Entity type:Individual
Prefix:DR
First Name:JERALD
Middle Name:
Last Name:INSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8114 SANDPIPER CIR STE 206
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5902
Mailing Address - Country:US
Mailing Address - Phone:410-933-4923
Mailing Address - Fax:410-933-8659
Practice Address - Street 1:8114 SANDPIPER CIR STE 206
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5902
Practice Address - Country:US
Practice Address - Phone:410-933-4923
Practice Address - Fax:410-933-8659
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37280207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD283701300Medicaid
MD283701300Medicaid
A98399Medicare UPIN