Provider Demographics
NPI:1578502910
Name:MEIER-GINSBERG, EFRAT SHELLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:EFRAT
Middle Name:SHELLEY
Last Name:MEIER-GINSBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3789
Mailing Address - Country:US
Mailing Address - Phone:201-385-8350
Mailing Address - Fax:201-385-8351
Practice Address - Street 1:35 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-3789
Practice Address - Country:US
Practice Address - Phone:201-385-8350
Practice Address - Fax:201-385-8351
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07552500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038857Medicaid
NJI3770Medicare UPIN
NJ0038857Medicaid