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NPI Code Detail

MEDICARE: DR. PETER STERN M.D.

MEDICARE: DR. PETER STERN M.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
1207R00000XInternal Medicine PhysicianMA060849NJ

General Provider Information

NPI Number : 1902959331
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER STERN M.D.
Provider Business Mailing Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-785-0011
Fax Number :
Provider Business Practice Location Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-785-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 11/21/2014

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Directions to “ DR. PETER STERN M.D.” Practice Location

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