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Individual

DR. ALAN RICHARD STERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
76 SOUTHAVEN AVE, MEDFORD, NY 11763-3745
(631) 289-1107
(631) 289-1107
Mailing address
76 SOUTHAVEN AVE, MEDFORD, NY 11763-3745
(631) 289-1107
(631) 289-1107

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N03290
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00709435
NY
Enumeration date
08/31/2005
Last updated
08/02/2010
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