Provider Demographics
NPI:1285644773
Name:KENNETH STERNBERGER M.D. , PC
Entity Type:Organization
Organization Name:KENNETH STERNBERGER M.D. , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-576-0250
Mailing Address - Street 1:821 HUNTINGDON PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8372
Mailing Address - Country:US
Mailing Address - Phone:215-576-0250
Mailing Address - Fax:215-576-8645
Practice Address - Street 1:821 HUNTINGDON PIKE STE 203
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8372
Practice Address - Country:US
Practice Address - Phone:215-576-0250
Practice Address - Fax:215-576-8645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032424-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty