Healthcare Provider Details

I. General information

NPI: 1801877758
Provider Name (Legal Business Name): RONALD LAWRENCE GINSBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 WALKER AVE SUITE 302
BALTIMORE MD
21208-4075
US

IV. Provider business mailing address

19 WALKER AVE
BALTIMORE MD
21208-4075
US

V. Phone/Fax

Practice location:
  • Phone: 410-484-4840
  • Fax: 410-484-1084
Mailing address:
  • Phone: 410-484-4840
  • Fax: 410-484-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD14133
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: