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Individual

DR. PHILLIP C GINSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5401 OLD YORK RD, SUITE 200, PHILADELPHIA, PA 19141-3030
(215) 456-1177
(215) 457-1200
Mailing address
5401 OLD YORK RD, SUITE 200, PHILADELPHIA, PA 19141-3030
(215) 456-1177
(215) 457-1200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OS004644L
PA
208800000X
Urology Physician
Primary
OS004644L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009959340004
PA
01
0045588000
INDEPENDENCE BLUE CROSS, PA
PA
01
0099593520
AMERICHOICE
PA
01
447658WHU
MEDICARE PA
PA
01
5228062
AETNA
PA
01
P00405846
RAILROAD MEDICARE
PA
Enumeration date
12/22/2005
Last updated
01/28/2011
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