Provider Demographics
NPI:1568563948
Name:GINSBURG, CARLA HELENE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:HELENE
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:21 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1525
Mailing Address - Country:US
Mailing Address - Phone:781-894-4088
Mailing Address - Fax:781-894-6593
Practice Address - Street 1:21 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493
Practice Address - Country:US
Practice Address - Phone:781-894-4088
Practice Address - Fax:781-894-6593
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA42891207RG0100X
CODR.0058548207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA711922OtherTUFTS HEALTH PLAN
MAE05542OtherBLUE CROSS/BLUE SHIELD
MA100002185OtherMEDICARE RAILROAD
MA30340OtherHARVARD PILGRIM
MAB10168602OtherCIGNA
MA0146803Medicaid
MA711922OtherTUFTS HEALTH PLAN
MAB10168602OtherCIGNA