Provider Demographics
NPI:1487688420
Name:STERNBERG, CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:STERNBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GLASGOW AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4773
Mailing Address - Country:US
Mailing Address - Phone:302-832-3369
Mailing Address - Fax:302-832-5854
Practice Address - Street 1:87B OMEGA DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2065
Practice Address - Country:US
Practice Address - Phone:302-733-0980
Practice Address - Fax:302-733-7495
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100028062081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250002274OtherRAILROAD MEDICARE
DE510329923OtherTRICARE
DE0000131501Medicaid
DE386606954OtherBC/BS
DE74783OtherCOVENTRY
DE122577OtherCIGNA
DE102053OtherAMERIHEALTH-PPO
DE293738OtherMAMSI
DE4294011OtherAETNA-PPO
DE510329923OtherDEVON NETWORK
DE510329923OtherUNITED HEALTH CARE
DEP1220925OtherOXFORD
DE0000131501OtherDE PHYSICIANS CARE
DE0079419000OtherAMERIHEALTH-HMO
DE0017783OtherAETNA-HMO
DE250002274OtherRAILROAD MEDICARE
DE510329923OtherDEVON NETWORK