NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1689624504 |   |   |   | EINSTEIN PRACTICE PLAN INC | 101 E OLNEY AVE | PHILADELPHIA | PA | 19120 |
1609816354 | AMUNDSON | RUSSELL |   |   | 101 E OLNEY AVE | PHILA | PA | 191202421 |
1861434953 | COOPER | PATRICK | BILL |   | 5401 OLD YORK RD | PHILADELPHIA | PA | 191413030 |
1679542799 | KOTAPKA | MARK | J |   | 101 E OLNEY AVE | PHILADELPHIA | PA | 191202421 |