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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist PA DS021988L