Provider Demographics
NPI:1003091877
Name:GERALD P STERNER MD & ASSOCIATES CHARTERED
Entity Type:Organization
Organization Name:GERALD P STERNER MD & ASSOCIATES CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:STERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-257-3181
Mailing Address - Street 1:PO BOX 929
Mailing Address - Street 2:19 CHESAPEAKE BEACH ROAD EAST
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-0929
Mailing Address - Country:US
Mailing Address - Phone:410-257-3181
Mailing Address - Fax:301-855-2908
Practice Address - Street 1:19 CHESAPEAKE BEACH ROAD EAST
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-0929
Practice Address - Country:US
Practice Address - Phone:410-257-3181
Practice Address - Fax:301-855-2908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-29
Last Update Date:2007-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B67524Medicare UPIN
S305C728Medicare PIN