Stern, Robert S.

Stern, Robert S. is an individual health care provider with primary practice located at 330 Brookline Avenue , Boston MA 02215. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stern, Robert S. can be contacted via phone (617) 667-4995.

Contact Information

Primary practice address
330 Brookline Avenue Boston MA 02215
Fax: (617) 667-4948
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36176 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36176 Massachusetts

Profile Details

NPI number 1467462515
LBN Legal business name Stern, Robert S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467462515 NPPES
Massachusetts MEDICAID 2043483

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