Individual
JON KOGOD STERNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
Mailing address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
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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