Individual
EVAN M GINSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420011723
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010020709CT01
BLUE CROSS BLUE SHIELD
CT
01
—
0Q2049
HEALTHNET
CT
01
—
110156074
RAILROAD MEDICARE
CT
01
—
2047669
AETNA
CT
05
—
32001123
—
NH
01
—
758195
CONNECTICARE
CT
01
—
NHP069
OXFORD
CT
Enumeration date
03/29/2006
Last updated
03/27/2012
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