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NPI Code Detail

MEDICARE: DR. RORY STERN PSYD

MEDICARE: DR. RORY STERN PSYD
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1942470851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RORY STERN PSYD
Provider Business Mailing Address
First Line : 101 DANA CT
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-9998
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 BOSTON ST
Second Line :
City : SALEM
State : MA
Zip : 01970-1402
Country : US
Telephone Number : 978-744-7905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2008
Last Update Date : 03/06/2008

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Directions to “ DR. RORY STERN PSYD” Practice Location

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