Provider Demographics
NPI:1093838021
Name:STERNBERG, MICHAEL ROSS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROSS
Last Name:STERNBERG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3166 GOLANSKY BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4263
Mailing Address - Country:US
Mailing Address - Phone:703-878-3393
Mailing Address - Fax:703-590-0271
Practice Address - Street 1:3166 GOLANSKY BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4263
Practice Address - Country:US
Practice Address - Phone:703-878-3393
Practice Address - Fax:703-590-0271
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010380782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC89199Medicare UPIN