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Individual
DR. JERRY O STERN
Active
Individual
DR. JERRY O STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035247
CT
207R00000X
Internal Medicine Physician
134823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0352247
CONNECTICUT STATE LICENSE
CT
01
—
134823
NEW YORK STATE LICENSE
NY
Enumeration date
03/01/2010
Last updated
02/15/2019
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