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Organization
EINSTEIN PRACTICE PLAN INC
Active
Organization
EINSTEIN PRACTICE PLAN INC
Active
Other names
Einstein Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON (DIRECTOR-EINSTEIN PRACTICE PLAN INC)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, LEVY GROUND FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-6970
(215) 254-2599
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
04/28/2006
Last updated
12/31/2012
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