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Organization
VIENNA PODIATRY LTD
Active
Organization
VIENNA PODIATRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN F STERN D.P.M. (PODIATRIST)
(703) 281-4500
Entity
Organization
Contact information
Practice address
527 MAPLE AVE E, SUITE 204, VIENNA, VA 22180-4746
(703) 281-4500
(703) 242-8475
Mailing address
527 MAPLE AVE E, SUITE 204, VIENNA, VA 22180-4746
(703) 281-4500
(703) 242-8475
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000238
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005868
BLUE SHIELD OF VIRGINIA
VA
01
—
016712
BLUE SHIELD OF VIRGINIA
VA
01
—
0587601
AETNA HMO
VA
01
—
2700089
UNITEDHEALTHCARE
—
01
—
312945
MDIPA/OPTIMUM COICE
—
01
—
4092107
AETNA MC
VA
01
—
7246
BLUE SHIELD OF DC
—
05
—
9300431
—
VA
Enumeration date
11/14/2007
Last updated
02/05/2008
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