Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME 76291 | FL |
NPI | 1053304550 |
---|---|
Provider Name | Dr. Henry J. Stern |
First Address | Riviera Beach, FL 33410-7417 |
Second Address | Riviera Beach, FL 33410-7417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 13/07/2007 |