Healthcare Provider Details

I. General information

NPI: 1053478180
Provider Name (Legal Business Name): J.BARTON STERLING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MORRIS AVE
SPRING LAKE NJ
07762-1360
US

IV. Provider business mailing address

215 MORRIS AVE
SPRING LAKE NJ
07762-1360
US

V. Phone/Fax

Practice location:
  • Phone: 732-449-3005
  • Fax: 732-449-5110
Mailing address:
  • Phone: 732-449-3005
  • Fax: 732-449-5110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number25MA07887600
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: