MEDICARE: ALBERT EINSTEIN MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PP481810	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891010229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT EINSTEIN MEDICAL CENTER

Provider Business Mailing Address
First Line	:	9880 BUSTLETON AVE STE 305
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2144
Country	:	US
Telephone Number	:	215-827-1680
Fax Number	:	215-827-1389

Provider Business Practice Location Address
First Line	:	9880 BUSTLETON AVE STE 305
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2144
Country	:	US
Telephone Number	:	215-827-1680
Fax Number	:	215-827-1389

Authorized Official
Title or Position	:	NETWORK DIRECTOR OF PHARMACY
Name	:	MS. DEBORAH GAIL HAUSER
Credential	:	RPH
Telephone Number	:	215-456-6486

Provider Enumeration Date	:	03/29/2010
Last Update Date	:	08/04/2021

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