Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 38368 | MA |
NPI | 1013006311 |
---|---|
Provider Name | Dr. Leslie E Stern |
First Address | Fall River, MA 02720-5923 |
Second Address | Fall River, MA 02720-5923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013710 | NEIGHBORHOOD HEALTH (01) | MA |
12006 | HARVARD PILGRIM HEALTH (01) | MA |
202086 | RI BLUE CHIP (01) | RI |
2034875 | (05) | MA |
4864-6 | RI BLUE SHIELD (01) | RI |
733131 | TUFTS (01) | MA |