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NPI Code Detail

MEDICARE: DEBRA JEAN STERN MD

MEDICARE: DEBRA JEAN 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
1208000000XPediatrics PhysicianG65465CA
2208M00000XHospitalist PhysicianG65465CA
32080N0001XNeonatal-Perinatal Medicine PhysicianG65465CA

General Provider Information

NPI Number : 1255325312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA JEAN STERN MD
Provider Business Mailing Address
First Line : 2500 MOWRY AVE
Second Line :
City : FREMONT
State : CA
Zip : 94538-1605
Country : US
Telephone Number : 510-745-6574
Fax Number : 510-791-5313
Provider Business Practice Location Address
First Line : 18321 CLARK ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-3501
Country : US
Telephone Number : 818-881-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 03/07/2023

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