Provider Demographics
NPI:1801877758
Name:GINSBERG, RONALD LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LAWRENCE
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4075
Mailing Address - Country:US
Mailing Address - Phone:410-484-4840
Mailing Address - Fax:410-484-1084
Practice Address - Street 1:19 WALKER AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-4075
Practice Address - Country:US
Practice Address - Phone:410-484-4840
Practice Address - Fax:410-484-1084
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD14133207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG3470001OtherCAREFIRST PROVIDER NUMBER
MD06227OtherAMERIGROUP PROVIDER NUMBE
MD2997934OtherAETNA HMO PROVIDER NUMBER
MD413358OtherMAMSI PROVIDER NUMBER
MD4281798OtherAETNA PPO PROVIDER NUMBER
MDKCW5OtherCAREFIRST PROVIDER NUMBER
MD413358OtherMAMSI PROVIDER NUMBER
DCG3470001OtherCAREFIRST PROVIDER NUMBER