Organization
ALBERT EINSTEIN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BERNINI C.O.O (CHIEF OPERATIONS OFFICER)
(215) 456-7890
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6336
(215) 456-8502
Mailing address
101 MATTISON AVE, AMBLER, PA 19002-4719
(215) 646-2413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT185895
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT185895
TRAINING LICENSE
PA
Enumeration date
05/30/2007
Last updated
06/12/2008
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