Provider First Line Business Practice Location Address:
6712 RISING SUN AVENUE, 3RD FLOOR
Provider Second Line Business Practice Location Address:
EINSTEIN PEDATRICS @ COLOGATE
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-622-6526
Provider Business Practice Location Address Fax Number:
484-622-6530
Provider Enumeration Date:
07/22/2010