Provider Demographics
NPI:1306926837
Name:GINSBURG, STEVEN M (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 MCFARLAN RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2453
Mailing Address - Country:US
Mailing Address - Phone:610-444-5678
Mailing Address - Fax:610-444-1738
Practice Address - Street 1:402 MCFARLAN RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2453
Practice Address - Country:US
Practice Address - Phone:610-444-5678
Practice Address - Fax:610-444-1738
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007049E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012657350003Medicaid
PA0012657350003Medicaid
PA498687Medicare ID - Type Unspecified