Provider Demographics
NPI:1063449510
Name:GINSBURG, ALBERT I (DPM)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:I
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5508 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3613
Mailing Address - Country:US
Mailing Address - Phone:410-483-4242
Mailing Address - Fax:410-483-4053
Practice Address - Street 1:1050 NORTH POINT ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3329
Practice Address - Country:US
Practice Address - Phone:410-282-2234
Practice Address - Fax:410-288-3843
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00304213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59505Medicare UPIN
MD5122180001Medicare NSC
MDH599T039Medicare PIN