Organization
EINSTEIN PRACTICE PLAN, INC.
Active
Other names
Einstein Hepatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CANDIA (SUPERVISOR, PROVIDER ENROLLMENT)
(215) 456-4694
Entity
Organization
Contact information
Practice address
5401 OLD YORK RD STE 505, PHILADELPHIA, PA 19141-3047
(215) 456-8242
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
Taxonomy
Speciality
Code
Description
License number
State
207RT0003X
Transplant Hepatology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
05/29/2018
Last updated
05/29/2018
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