Healthcare Provider Details

I. General information

NPI: 1003091877
Provider Name (Legal Business Name): GERALD P STERNER MD & ASSOCIATES CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2007
Last Update Date: 12/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CHESAPEAKE BEACH ROAD EAST
OWINGS MD
20736-0929
US

IV. Provider business mailing address

PO BOX 929 19 CHESAPEAKE BEACH ROAD EAST
OWINGS MD
20736-0929
US

V. Phone/Fax

Practice location:
  • Phone: 410-257-3181
  • Fax: 301-855-2908
Mailing address:
  • Phone: 410-257-3181
  • Fax: 301-855-2908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0017245
License Number StateMD

VIII. Authorized Official

Name: DR. GERALD PAUL STERNER
Title or Position: PRESIDENT
Credential: MD
Phone: 410-257-3181