Stern, Edra Lea
Stern, Edra Lea is an sole proprietor health care provider with primary practice located at 1455 E Putnam Ave Ste 2 , Old Greenwich CT 06870-1360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Stern, Edra Lea can be contacted via phone (203) 661-4242.Contact Information
Primary practice address
1455 E Putnam Ave Ste 2
Old Greenwich CT 06870-1360
Phone: (203) 661-4242
Fax: (203) 625-9626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047798 | Connecticut |
Profile Details
| NPI number | 1164624557 |
|---|---|
| LBN Legal business name | Stern, Edra Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Aug 26th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164624557 | NPPES |
| Connecticut | MEDICAID | 004187466 |
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