Provider Demographics
NPI:1740277714
Name:STERN, ALAN L (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:L
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-826-4460
Mailing Address - Fax:860-826-4436
Practice Address - Street 1:1 LAKE ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1396
Practice Address - Country:US
Practice Address - Phone:860-826-4460
Practice Address - Fax:860-826-4436
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT020552207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010020552CT02OtherBCBS & BCFP SOUTHINGTON
CT138006OtherWELLCARE MEDICARE
CTCT0552OtherEYE MED VISION CARE
CT1255448155OtherGHMC GROUP NPI ID
CT010020552CT00OtherBCBS & BCFP NEW BRITAIN
CT442183036OtherRAIL ROAD MEDICARE
CT910435OtherBLOCK VISION
CT001205525Medicaid
CT004214433Medicaid
CT7936001OtherCONNECTICARE
CT180000227Medicare ID - Type Unspecified
CTC01373Medicare ID - Type UnspecifiedGHMC GROUP MEDICARE ID
CT001205525Medicaid