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NPI Code Detail

MEDICARE: MR. DAVID GIL STERNBERG MSW

MEDICARE: MR. DAVID GIL STERNBERG MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC303627DC
21041C0700XClinical Social Worker11824MD

General Provider Information

NPI Number : 1265658496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID GIL STERNBERG MSW
Provider Business Mailing Address
First Line : 3502 FREDERICK PL
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-3405
Country : US
Telephone Number : 240-242-3640
Fax Number :
Provider Business Practice Location Address
First Line : 2607 CONNECTICUT AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20008-1522
Country : US
Telephone Number : 240-393-1148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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