Provider Demographics
NPI:1669189528
Name:STERLING FAMILY MEDICINE
Entity type:Organization
Organization Name:STERLING FAMILY MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EWURAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMPOFO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-712-5956
Mailing Address - Street 1:137 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VERNON ROCKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5839
Mailing Address - Country:US
Mailing Address - Phone:860-712-5956
Mailing Address - Fax:
Practice Address - Street 1:94 UNION ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-3131
Practice Address - Country:US
Practice Address - Phone:860-712-5956
Practice Address - Fax:860-969-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty