Provider Demographics
NPI:1467489740
Name:SHTERN, MARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:SHTERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 FERRY RD UNIT 400
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2391
Mailing Address - Country:US
Mailing Address - Phone:267-880-6350
Mailing Address - Fax:215-453-4646
Practice Address - Street 1:1456 FERRY RD UNIT 400
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:267-880-6350
Practice Address - Fax:267-880-6592
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1747207Q00000X
PAMD428623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherGREAT WEST HEALTH CARE
MA496679OtherTUFTS MEDICARE PREFERRED
MA042297845OtherUNITED HEALTH CARE
MA042297845OtherTRICARE
MA0042085OtherNEIGHBORHOOD HEALTH PLAN
MA042297845OtherGIC/UNICARE
042297845OtherPHCS/MULTI-PLAN
MA6389750OtherCIGNA
MAAA100833OtherHAVARD PILGRIM HEALTH PLA
MAJ42214OtherBCBSMA
MA042297845OtherHCVM/FIRST HEALTH/COVENTY
MA129731OtherFALLON
MA2142406Medicaid
MA7182851OtherAETNA
MA496679OtherTUFTS HEALTH PLAN
MA129731OtherFALLON
MA1467489740Medicare UPIN