Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 0101044238 | VA |
NPI | 1417048786 |
---|---|
Provider Name | Dr. Harvey Jay Stern |
First Address | Baltimore, MD 21297-1016 |
Second Address | Fairfax, VA 22031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 21/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E72247 | (02) | DC |