Individual
EDWARD I GINNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-8134
(508) 856-8145
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
203226
MA
2084N0400X
Neurology Physician
Primary
203226
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112887
—
MA
05
—
110001182A
—
MA
Enumeration date
11/20/2005
Last updated
12/29/2020
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