Healthcare Provider Details

I. General information

NPI: 1497713358
Provider Name (Legal Business Name): ALLEN ISAAC STERING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE BUILDING 19, 4TH FLOOR
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

8901 WISCONSIN AVE BUILDING 19, 4TH FLOOR
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1663
  • Fax: 301-400-1662
Mailing address:
  • Phone: 301-400-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME95030
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD204567
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberME95030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: