Provider Demographics
NPI:1346357159
Name:STERN, BARNEY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARNEY
Middle Name:J
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22 S GREENE ST
Mailing Address - Street 2:DEPT. OF NEUROLOGY N4W46
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:410-328-5803
Mailing Address - Fax:410-328-5899
Practice Address - Street 1:16 S EUTAW ST
Practice Address - Street 2:FRENKIL BLDG. 3RD FL.
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1606
Practice Address - Country:US
Practice Address - Phone:410-328-4323
Practice Address - Fax:410-328-1149
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD23567174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76379Medicare UPIN