Healthcare Provider Details

I. General information

NPI: 1962616508
Provider Name (Legal Business Name): ALBERT EINSTEIN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD KORMAN BUILDING, SUITE 103
PHILADELPHIA PA
19141-3018
US

IV. Provider business mailing address

101 WASHINGTON LN APT M 526
JENKINTOWN PA
19046-3505
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-7890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberMD427436
License Number StatePA

VIII. Authorized Official

Name: SUSAN A BERNINI
Title or Position: COO
Credential:
Phone: 215-456-7890