Provider First Line Business Practice Location Address:
5501 OLD YORK ROAD, MOSS 4TH FLOOR, SLEY BUILDING
Provider Second Line Business Practice Location Address:
EINSTEIN NEPHROLOGY ASSOCIATES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-456-6970
Provider Business Practice Location Address Fax Number:
215-456-7154
Provider Enumeration Date:
03/09/2006