Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 00304 | MD |
Y | 222Z00000X | Podiatrist | 00304 | MD |
NPI | 1063449510 |
---|---|
Provider Name | Albert I Ginsburg |
First Address | Baltimore, MD 21206-3613 |
Second Address | Baltimore, MD 21224-3329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 22/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T59505 | (02) | MD |