Individual
ETHAN SAMUEL STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
Mailing address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
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
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