Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 60284 | MA |
Y | 207VE0102X | Reproductive Endocrinologist | 60284 | MA |
NPI | 1164407938 |
---|---|
Provider Name | Elizabeth Sarah Ginsburg |
First Address | Brookline, MA 02445-6002 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 31/07/2012 |