MEDICARE: DR. MELVIN J 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	2084P0800X	Psychiatry Physician	D0003782	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619904190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN J STERN MD

Provider Business Mailing Address
First Line	:	12073 TECH RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7873
Country	:	US
Telephone Number	:	301-593-1315
Fax Number	:	310-681-4699

Provider Business Practice Location Address
First Line	:	12073 TECH RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7873
Country	:	US
Telephone Number	:	301-593-1315
Fax Number	:	310-681-4699

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	03/17/2017

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