Provider Demographics
NPI:1528156981
Name:GINSBERG, FREDERIC LEE (MD)
Entity type:Individual
Prefix:
First Name:FREDERIC
Middle Name:LEE
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:3 DORRANCE
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-2604
Mailing Address - Fax:856-968-8282
Practice Address - Street 1:1210 BRACE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3213
Practice Address - Country:US
Practice Address - Phone:856-938-2052
Practice Address - Fax:856-429-1561
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40363207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
3182437OtherCIGNA
NJ4608402Medicaid
3K6105OtherHEALTHNET
1023745OtherHORIZON NJ HEALTH
1243147OtherUNITED HEALTH CARE
146258OtherPENNSYLVANIA BLUE SHIELD
14278OtherUNIVERSITY HEALTH
84027OtherAMERIGROUP
P437737OtherOXFORD HEALTH PLAN
110084235OtherRAIL ROAD MEDICARE
146258OtherAMERIHEALTH PPO
0083872000OtherAMERIHEALTH, HMO, KEYSTONE, IBC
010003720 00OtherAMERICHOICE
123460OtherAETNA
84027OtherAMERIGROUP
1023745OtherHORIZON NJ HEALTH
146258Medicare PIN