Organization
EINSTEIN PRACTICE PLAN INC
Active
Other names
Tabor Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON (DIRECTOR EINSTEIN PRACTICE PLAN INC)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5501 OLD YORK ROAD, PHILADELPHIA, PA 19141
(215) 456-6679
(215) 456-8502
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
05/17/2006
Last updated
02/18/2014
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