Individual
DR. EDRA LEA STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1455 E PUTNAM AVE STE 2, OLD GREENWICH, CT 06870-1360
(203) 661-4242
(203) 625-9626
Mailing address
1455 E PUTNAM AVE STE 2, OLD GREENWICH, CT 06870-1360
(203) 661-4242
(203) 625-9626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047798
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187466
—
CT
Enumeration date
06/05/2007
Last updated
08/26/2019
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