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Individual

JEREMY BEN STERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300C FAUNCE CORNER RD, N DARTMOUTH, MA 02747-1257
(508) 998-6100
(508) 998-1411
Mailing address
300C FAUNCE CORNER RD, N DARTMOUTH, MA 02747-1257
(508) 998-6100
(508) 998-1411

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
76678
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200023245
RAILROAD MEDICARE
MA
05
3101681
MA
05
9778837
MA
Enumeration date
06/14/2005
Last updated
10/02/2009
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