Organization
ALBERT EINSTEIN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA PENA-RICARDO M.D. (PEDIATRIC RESIDENT)
(215) 456-3436
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, PALEY BLDG, 1ST FLOOR. PEDIATRIC AND ADOLESCENT MEDICIN, PHILADELPHIA, PA 19141-3018
(215) 456-7170
Mailing address
2967 W SCHOOL HOUSE LN, APT C 1003, PHILADELPHIA, PA 19144-5222
(267) 979-6626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT 188183
PA
Other
Enumeration date
05/17/2007
Last updated
05/29/2009
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