MEDICARE: DR. ERROL STERN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	80337	MA

General Provider Information

NPI Number	:	1063616001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERROL STERN MD

Provider Business Mailing Address
First Line	:	160 WEXFORD CRESCENT
Second Line	:
City	:	MONTREAL
State	:	QC
Zip	:	H3X1E1
Country	:	CA
Telephone Number	:	514-486-7661
Fax Number	:	514-486-7608

Provider Business Practice Location Address
First Line	:	3755 COTE STE CATHERINE D 010
Second Line	:	JEWISH GENERAL HOSPITAL
City	:	MONTREAL
State	:	QC
Zip	:	H3T1E2
Country	:	CA
Telephone Number	:	514-340-8222
Fax Number	:	514-340-7917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/08/2007

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