Individual
ETHAN SAMUEL STERN
Active
Individual
ETHAN SAMUEL STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS020508
PA
207R00000X
Internal Medicine Physician
OT018354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742763
—
PA
Enumeration date
04/11/2018
Last updated
03/12/2021
Update your record
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