MEDICARE: DR. DORRIT HALE STERNER 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	207Q00000X	Family Medicine Physician	MD024554-E	PA
2	207R00000X	Internal Medicine Physician	MD024554E	PA

General Provider Information

NPI Number	:	1063636181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORRIT HALE STERNER MD

Provider Business Mailing Address
First Line	:	3340 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-5102
Country	:	US
Telephone Number	:	215-707-4088
Fax Number	:	215-707-2708

Provider Business Practice Location Address
First Line	:	3340 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-5102
Country	:	US
Telephone Number	:	215-707-4088
Fax Number	:	215-707-2708

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	04/13/2021

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