Provider Demographics
NPI:1821043175
Name:GINSBERG, SUSAN B (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name: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 1:1700 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3040
Mailing Address - Country:US
Mailing Address - Phone:610-239-7100
Mailing Address - Fax:
Practice Address - Street 1:1700 PINE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3040
Practice Address - Country:US
Practice Address - Phone:610-239-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11411600207R00000X
PAMD420068207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA31712-MD420068OtherHEALTH PARTNERS
PA0019208640002Medicaid
PA2113990000OtherAMERIHEALTH/INTERCOUNTY
PA2113990000OtherIBC - PC/KHPE
PA3190068OtherCIGNA HMO/PPO
PA3473312OtherAETNA HMO
PA11302567OtherCAQH ID#
PA1428825OtherHIGHMARK BLUE SHIELD
PA5910118OtherAETNA PPO
PAP00041742OtherRRM
PA1920867002OtherAMERICHOICE (UHC MA PLAN)
PA30011545OtherKEYSTONE MERCY
PA058033NUMMedicare ID - Type UnspecifiedHGSA
PA0019208640002Medicaid