Organization
EINSTEIN PRACTICE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG MIN LEE PA-C (PHYSICIAN ASSISTANT)
(215) 456-8242
Entity
Organization
Contact information
Practice address
5401 OLD YORK RD, KLEIN BUILDING-SUITE 505, PHILADELPHIA, PA 19141-3030
(215) 456-8242
(215) 456-8058
Mailing address
5401 OLD YORK RD, KLEIN BUILDING-SUITE 505, PHILADELPHIA, PA 19141-3030
(215) 456-8242
(215) 456-8058
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058420
PA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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