Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD037992 | DC |
NPI | 1124228374 |
---|---|
Provider Name | Dr. Eric Jacob Stern |
First Address | Boston, MA 02241-8283 |
Second Address | Washington, DC 20007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 15/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0523722400 | (05) | DC |
1124228374 | (05) | VA |