Healthcare Provider Details

I. General information

NPI: 1437478773
Provider Name (Legal Business Name): ANDREA L STERN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA L RIER MD

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CORNERSTONE DR SUITE B
MOUNT JOY PA
17552-9416
US

IV. Provider business mailing address

1030 NEW HOLLAND AVE SUITE 200
LANCASTER PA
17601-5690
US

V. Phone/Fax

Practice location:
  • Phone: 717-653-2929
  • Fax: 717-492-0699
Mailing address:
  • Phone: 717-653-2929
  • Fax: 717-492-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD449165
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: