Provider Demographics
NPI:1508934175
Name:STERNER, GERALD P (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:P
Last Name:STERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 929
Mailing Address - Street 2:19 CHESAPEAKEBEACH RD, E
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-0929
Mailing Address - Country:US
Mailing Address - Phone:410-257-3181
Mailing Address - Fax:301-855-2908
Practice Address - Street 1:19 CHESAPEAKE BEACH ROAD EAST
Practice Address - Street 2:
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3517
Practice Address - Country:US
Practice Address - Phone:410-257-3181
Practice Address - Fax:301-855-2908
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD089211400Medicaid
B67524Medicare UPIN
MD089211400Medicaid