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NPI Code Detail

MEDICARE: BURTON GINSBERG D.O.

MEDICARE: BURTON GINSBERG D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS002647LPA

General Provider Information

NPI Number : 1013080670
Entity Type Code : Individual
Provider Name (Legal Business Name) : BURTON GINSBERG D.O.
Provider Business Mailing Address
First Line : 78 SECOND AVE
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-3646
Country : US
Telephone Number : 610-409-9999
Fax Number : 610-409-8470
Provider Business Practice Location Address
First Line : 78 SECOND AVE
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-3646
Country : US
Telephone Number : 610-409-9999
Fax Number : 610-409-8470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 02/11/2022

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Directions to “ BURTON GINSBERG D.O.” Practice Location

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