Provider Information for 1114971421
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GOLDA SUSAN GINSBURG PH.D.
Sex: Female
NPI: 1114971421
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1114971421 | ||||||||
| Enumeration Date | 2006-05-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 64260 BALTIMORE, MD 21264-4260 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 600 N WOLFE ST BALTIMORE, MD 21287-0005 United States Phone: 410-955-5104 | Fax: | ||||||||
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