Einstein Practice Plan, Inc.

NPI #1083082523 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1083082523
Entity Type
Organization
Organization Name
Einstein Practice Plan, Inc.
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 14, 2015
Last Updated
Sep 14, 2015

Practice Location

Address
5501 OLD YORK RD
Address 2
KORMAN 202
ZIP Code
19141-3018
Phone
(215) 456-4694

Authorized Official

Name
JENNIFER PROVASNIK
Title
SUPERVISOR
Phone
(215) 456-4694

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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