Provider Demographics
NPI:1922396233
Name:GINSBURG, JANE SUSAN (LPT)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:SUSAN
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:SUSAN
Other - Last Name:GREENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:2 COLLAGE CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-5130
Mailing Address - Country:US
Mailing Address - Phone:609-220-0333
Mailing Address - Fax:856-751-1253
Practice Address - Street 1:701 W SOMERDALE RD
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2401
Practice Address - Country:US
Practice Address - Phone:856-504-3150
Practice Address - Fax:856-504-3157
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QAO154300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist