Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 40QA00116900 | NJ |
N | 2251G0304X | Physical Therapist - Geriatrics | 40QA00116900 | NJ |
NPI | 1336353242 |
---|---|
Provider Name | Mr. Steven D. Ginsberg |
First Address | Oldwick, NJ 08858-0294 |
Second Address | Whitehouse Station, NJ 08889 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |