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Organization

RICHARD J. STERNBERG MD, FAAOS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD JOEL STERNBERG M.D. (OWNER)
(302) 629-7900
Entity
Organization

Contact information

Practice address
1200 NORMAN ESRIDGE HWY, SEAFORD, DE 19973-1726
(302) 629-7900
(302) 629-2099
Mailing address
1200 NORMAN ESKRIDGE HWY, PO BOX 419, SEAFORD, DE 19973-1726
(302) 629-7900
(302) 629-2099

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10005745
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000983201
MEDICAID INDV. NUMBER
DE
01
00B313R53
MEDICARE INDV. NUMBER
DE
01
1000015377
MEDICAID GROUP NUMBER
DE
01
1568401305
NPI INDIVIDUAL NUMBER
DE
01
207X00000X
MEDICAID TAXONOMY NUMBER
DE
01
G00953
MEDICARE GROUP NUMBER
DE
Enumeration date
11/13/2007
Last updated
04/20/2008
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