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Individual

EDO GINSBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W. HUNTING PARK AVENUE, PHILADELPHIA, PA 19129
(215) 707-3326
(215) 707-8028

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD060982L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016801070010
PA
05
0016801070011
PA
01
01697
HEALTH PARTNERS TORRES.
PA
01
0474519000
KEYSTONE IBC
PA
01
30002949
KEYSTONE MERCY
PA
01
30563
HEALTH PARTNERS FRANKFORD
PA
01
3056444
AETNA CONTRACT
PA
01
30567
HEALTH PARTNERS BUCKS
PA
01
524339
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/01/2006
Last updated
04/26/2018
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