Individual
DR. ALVIN IRA STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
75 W MAIN ST, PENNS GROVE, NJ 08069-1301
(856) 299-2112
(856) 299-2147
Mailing address
75 W MAIN ST, PENNS GROVE, NJ 08069-1301
(856) 299-2112
(856) 299-2147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AO 4037
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514806
—
NJ
Enumeration date
05/23/2005
Last updated
05/18/2009
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