Organization
EINSTEIN PRACTICE PLAN INC
Active
Other names
Northern Pathology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON (DIRECTOR)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, PHILA, PA 19141
(215) 456-6157
(215) 456-6426
Mailing address
101 E OLNEY AVE, SUITE 400, PHILA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
05/18/2006
Last updated
04/20/2012
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