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Provider Information for 1043243074

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DR. THOMAS JOSEPH STERN D.M.D.

Gender: MALE

Individual NPI: 1043243074

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1043243074
Enumeration Date 2006-07-10
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 833 S 2ND ST
PHILADELPHIA, PA 19147-3431
United States

Phone: 215-336-3066 | Fax: 215-336-9994
View Map External Link
Primary Practice Address 833 S 2ND ST
PHILADELPHIA, PA 19147-3431
United States

Phone: 215-336-3066 | Fax: 215-336-9994
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist PA DS021988L
Other Identifiers
Issuer State Number