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Organization

EINSTEIN PRACTICE PLAN, INC.

Active
Other names
Einstein Practice Plan CRNP
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER PROVASNIK (SUPERVISOR)
(215) 456-4694
Entity
Organization

Contact information

Practice address
5501 OLD YORK RD, KORMAN 202, PHILADELPHIA, PA 19141-3018
(215) 456-4694
(215) 456-5926
Mailing address
5501 OLD YORK RD, KORMAN 202, PHILADELPHIA, PA 19141-3018
(215) 456-4694
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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