Organization
EINSTEIN PRACTICE PLAN INC
Active
Other names
Einstein Gastroenterology Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCINE BARGERON (DIRECTOR EINSTEIN PRACTICE PLAN INC)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5401 OLD YORK ROAD, KLEIN 363, PHILADELPHIA, PA 19141
(215) 456-8210
(215) 455-1933
Mailing address
101 E OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706730139
—
PA
Enumeration date
05/17/2006
Last updated
12/07/2007
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