Organization
EINSTEIN PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD MALIK DPM (PARTNER)
(215) 927-2837
Entity
Organization
Contact information
Practice address
1335 W TABOR RD STE 206, PHILADELPHIA, PA 19141-3040
(215) 927-2837
(215) 927-2008
Mailing address
1335 W TABOR RD STE 206, PHILADELPHIA, PA 19141-3040
(215) 927-2837
(215) 927-2008
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346604345
—
PA
05
—
1841600053
—
PA
Enumeration date
09/01/2022
Last updated
02/06/2023
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