Provider Demographics
NPI:1821307711
Name:GINSBERG, ALLAN G (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:G
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9216 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-1161
Mailing Address - Country:US
Mailing Address - Phone:215-341-6244
Mailing Address - Fax:609-289-8524
Practice Address - Street 1:9216 AMHERST AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-1161
Practice Address - Country:US
Practice Address - Phone:215-341-6244
Practice Address - Fax:609-289-8524
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ00945183500000X
PARP026109L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist