Provider Demographics
NPI:1497475487
Name:STERN, WILLIAM DECEMBER
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DECEMBER
Last Name:STERN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 LLANFAIR RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3606
Mailing Address - Country:US
Mailing Address - Phone:267-973-0328
Mailing Address - Fax:
Practice Address - Street 1:7106 LLANFAIR RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3606
Practice Address - Country:US
Practice Address - Phone:267-973-0328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care