Organization
EINSTEIN PRACTICE PLAN INC
Active
Other names
Northern Vascular Lab
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
5501 OLD YORK ROAD, PHILADELPHIA, PA 19141
(215) 456-6930
(215) 456-3529
Mailing address
101 E OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
04/21/2006
Last updated
11/01/2007
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