Healthcare Provider Details

I. General information

NPI: 1326050444
Provider Name (Legal Business Name): RECBECCA STERN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N SUITE 206
BOCA RATON FL
33428-2231
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N SUITE 206
BOCA RATON FL
33428-2231
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-3128
  • Fax: 561-482-5952
Mailing address:
  • Phone: 561-488-3128
  • Fax: 561-482-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMA67343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: