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Individual
JON KOGOD STERNBURG
Active
Individual
JON KOGOD STERNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1471641
NY
207Q00000X
Family Medicine Physician
Primary
MD025493E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000835304
—
PA
01
—
002313
FIRST PRIORITY HEALTH ID
—
05
—
00679718
—
NY
01
—
29942
GEISINGER HEALH PLAN ID
—
01
—
69A131
BLUE SHIELD ID NUMBER
NY
01
—
ST415829
BLUE SHIELD ID NUMBER
PA
Enumeration date
03/31/2006
Last updated
11/06/2009
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