# JON KOGOD STERNBURG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083675870
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1471641 | NY | — |
| 207Q00000X | Family Medicine Physician | MD025493E | PA | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 11/06/2009

## 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 |