Provider Demographics
NPI:1578590089
Name:STEINBACH, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:STEINBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 N BRYN MAWR AVE
Mailing Address - Street 2:STE 298
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3304
Mailing Address - Country:US
Mailing Address - Phone:215-634-5311
Mailing Address - Fax:215-634-4515
Practice Address - Street 1:3257 MEMPHIS ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4408
Practice Address - Country:US
Practice Address - Phone:215-634-5311
Practice Address - Fax:215-634-4515
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034920E207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014863420007Medicaid
PAE62133Medicare UPIN
PA442606VU1Medicare PIN