Individual
KENNETH R GINSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 MARKET ST FL 4, CHOP CARE NETWORK AT MARKET ST - ADOLESCENT MED, PHILADELPHIA, PA 19104-3368
(215) 590-2178
(215) 590-4619
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD042906E
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD042906E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415144
—
PA
05
—
5536006
—
NJ
Enumeration date
08/04/2006
Last updated
04/15/2013
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