Healthcare Provider Details

I. General information

NPI: 1023119526
Provider Name (Legal Business Name): HAROLD JOSEPH EINSIG M.D., A.T. , C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3646 POTTSVILLE PIKE
READING PA
19605-1700
US

IV. Provider business mailing address

3646 POTTSVILLE PIKE
READING PA
19605-1700
US

V. Phone/Fax

Practice location:
  • Phone: 610-603-6663
  • Fax: 610-238-8585
Mailing address:
  • Phone: 610-603-6663
  • Fax: 610-238-8585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberMD057525-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number46335
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD 057525-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: