MEDICARE: SHIFRA STERN

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1457888190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIFRA STERN

Provider Business Mailing Address
First Line	:	511 ARLINGTON AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 ARLINGTON AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4816
Country	:	US
Telephone Number	:	443-602-1879
Fax Number	:

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

Provider Enumeration Date	:	05/12/2017
Last Update Date	:	05/12/2017

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Directions to “ SHIFRA STERN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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