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Individual

DR. GERSON MARC STERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
26 CHAMBERLAIN HWY, KENSINGTON, CT 06037-1921
(860) 893-0040
(860) 893-0046
Mailing address
26 CHAMBERLAIN HWY, KENSINGTON, CT 06037-1921
(860) 893-0040
(860) 893-0046

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
022391
CT
2084P0800X
Psychiatry Physician
Primary
022391
CT
2084P0802X
Addiction Psychiatry Physician
022391
CT
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
022391
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001223916
CT
01
010022391CT03
ANTHEM BC/BS
01
079935
MHN
01
4075375
AETNA
01
P369963
OXFORD
Enumeration date
10/20/2006
Last updated
12/29/2009
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