Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 214124 | NY |
N | 207VG0400X | Gynecologist | 25MA06535400 | NJ |
N | 207VX0000X | Obstetrician | 25MA06535400 | NJ |
N | 207VX0201X | Gynecologic Oncologist | 25MA06535400 | NJ |
NPI | 1356421812 |
---|---|
Provider Name | Mark H Einstein |
First Address | Newark, NJ 07103-2757 |
Second Address | Newark, NJ 07103-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 26/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7822006 | (05) | NJ |