Provider Demographics
NPI:1902823479
Name:GINSBERG, SANDRA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:JOY
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 1:2440 M ST NW
Mailing Address - Street 2:STE 801
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1474
Mailing Address - Country:US
Mailing Address - Phone:202-296-2181
Mailing Address - Fax:202-223-2622
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE 506
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-296-2181
Practice Address - Fax:202-223-2622
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD19759207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B82462Medicare UPIN
00B049D04Medicare ID - Type Unspecified