Provider Demographics
NPI:1356421812
Name:EINSTEIN, MARK H (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:H
Last Name:EINSTEIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:185 S ORANGE AVE
Mailing Address - Street 2:RUTGERS NEW JERSEY MEDICAL SCHOOL, MSB E-506
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2757
Mailing Address - Country:US
Mailing Address - Phone:973-972-5266
Mailing Address - Fax:973-972-4574
Practice Address - Street 1:185 S ORANGE AVE
Practice Address - Street 2:RUTGERS NEW JERSEY MEDICAL SCHOOL, MSB E-506
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2757
Practice Address - Country:US
Practice Address - Phone:973-972-5266
Practice Address - Fax:973-972-4574
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06535400207VG0400X, 207VX0000X, 207VX0201X
NY214124207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7822006Medicaid
NJ461395Medicare PIN