Provider Demographics
NPI:1629151048
Name:GINALIS, ERNEST MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MICHAEL
Last Name:GINALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:279 3RD AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6205
Mailing Address - Country:US
Mailing Address - Phone:732-229-8486
Mailing Address - Fax:732-229-1576
Practice Address - Street 1:1300 HIGHWAY 35 UNIT 204
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3533
Practice Address - Country:US
Practice Address - Phone:732-531-6400
Practice Address - Fax:732-517-0223
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06075700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery