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Individual

SALLY H GINSBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
123 DWIGHT RD, SUITE 11, LONGMEADOW, MA 01106-1748
(413) 567-1031
(413) 567-7683
Mailing address
123 DWIGHT RD, SUITE 11, LONGMEADOW, MA 01106-1748
(413) 567-1031
(413) 567-7683

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036262
CT
208000000X
Pediatrics Physician
Primary
152465
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3175189
MA
Enumeration date
03/08/2006
Last updated
07/08/2007
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