Organization
EINSTEIN PEDIATRICS ASSOCIATES SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CANDIA (SUPERVISOR, ENROLLMENT)
(215) 456-4694
Entity
Organization
Contact information
Practice address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-4694
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015771700023
—
PA
Enumeration date
12/04/2017
Last updated
12/21/2017
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