Individual
DR. GARY GINSBERG VI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 E LANCASTER AVE, SHILLINGTON, PA 19607-1363
(610) 775-4205
(610) 775-1954
Mailing address
429 E LANCASTER AVE, SHILLINGTON, PA 19607-1363
(610) 775-4205
(610) 775-1954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036079E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001062213000
—
PA
01
—
0055255
AETNA US HEALTHCARE
PA
01
—
180263
MEDICAL PROVIDER ID
PA
Enumeration date
05/31/2005
Last updated
02/08/2019
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