Organization
ALBERT EINSTEIN MEDICAL CENTER
Active
Parent organization
ALBERT EINSTEIN MEDICAL CENTER
Other names
MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ)
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Authorized official
MR. WALTER G WYATT (ASSOC VP-FINANCE)
(215) 254-3254
Entity
Organization
Contact information
Practice address
135 S BROAD ST, WOODBURY, NJ 08096-2441
(856) 853-9900
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9000
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
TB1078
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8079102
—
NJ
05
—
8756601
—
NJ
Enumeration date
01/13/2015
Last updated
01/13/2015
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