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Individual

DR. JEFFREY TODD STERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 DEPOT ST, SUITE 201, WATERTOWN, CT 06795-2629
(860) 274-2418
(860) 274-2986
Mailing address
51 DEPOT ST, SUITE 201, WATERTOWN, CT 06795-2629
(860) 274-2418
(860) 274-2986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021487
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010021487CT01
ANTHEM BLUE CROSS
CT
01
06-1009203
PROVIDER NUMBER
CT
01
706203
CONNECTICARE
CT
01
P1009203
OXFORD
CT
Enumeration date
10/04/2006
Last updated
11/13/2013
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