MEDICARE: DR. HOWARD MARVIN STERN M.D., PH.D.

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	207ZP0101X	Anatomic Pathology Physician	209151	MA

General Provider Information

NPI Number	:	1336127026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD MARVIN STERN M.D., PH.D.

Provider Business Mailing Address
First Line	:	50 EVELYN RD
Second Line	:
City	:	WABAN
State	:	MA
Zip	:	02468-1217
Country	:	US
Telephone Number	:	617-527-3980
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 EVELYN RD
Second Line	:
City	:	WABAN
State	:	MA
Zip	:	02468-1217
Country	:	US
Telephone Number	:	617-527-3980
Fax Number	:

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	02/09/2020

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