Organization
EINSTEIN PRACTICE PLAN, INC.
Active
Other names
Einstein CT Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JACKSON (DIRECTOR)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5501 OLD YORK ROAD, PHILADELPHIA, PA 19141
(215) 456-6930
(215) 456-3529
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
05/16/2006
Last updated
11/07/2013
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