# EINSTEIN MEDICAL CENTER MONTGOMERY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EINSTEIN MEDICAL CENTER MONTGOMERY
- **Other names:** Einstein Endoscopy Center - Blue Bell
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114435856
- **Legal business name:** EINSTEIN MEDICAL CENTER MONTGOMERY
- **Authorized official:** WALTER GORDON WYATT (ASSOC VP OF FINANCE)
- **Authorized official phone:** (215) 254-3254

## Contact information

- **Practice address:** 676 DEKALB PIKE STE 100, BLUE BELL, PA 19422-1223
- **Practice address phone:** (610) 233-3177
- **Mailing address:** 5501 OLD YORK ROAD, CORPORATE ACCOUNTING, F & O BUILDING, 2ND FLOOR, PHILADELPHIA, PA 19141-3018
- **Mailing address phone:** (215) 254-3255
- **Mailing address fax:** (215) 456-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 10/23/2019