Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 230553 | MA |
N | 207R00000X | Internist | 230553 | MA |
N | 111NI0900X | Internist | 230553 | MA |
N | 208000000X | Pediatrician | 230553 | MA |
NPI | 1699844324 |
---|---|
Provider Name | Dr. Julien D Ginsberg-Peltz |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 07/09/2021 |