Provider Demographics
NPI:1750407458
Name:STERN, BERNARD H (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:H
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3530 N 37TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2522
Mailing Address - Country:US
Mailing Address - Phone:954-963-3686
Mailing Address - Fax:954-963-7201
Practice Address - Street 1:3109 STIRLING RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6558
Practice Address - Country:US
Practice Address - Phone:954-981-3223
Practice Address - Fax:954-964-2719
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME347942086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery