Provider Demographics
NPI:1770790750
Name:ALBERT EINSTEIN MEDICAL CENTER
Entity type:Organization
Organization Name:ALBERT EINSTEIN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:A. SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-456-7890
Mailing Address - Street 1:3331 BROOKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2808
Mailing Address - Country:US
Mailing Address - Phone:814-341-2660
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:KLEIN BLDG, SUITE 510
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-6930
Practice Address - Fax:215-456-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430344390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty