Sternburg, Jon Kogod

Sternburg, Jon Kogod is an individual health care provider with primary practice located at 1839 Fair Ave , Honesdale PA 18431-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sternburg, Jon Kogod can be contacted via phone (570) 251-6500.

Contact Information

Primary practice address
1839 Fair Ave Honesdale PA 18431-2121
Phone: (570) 251-6500
Fax: (570) 253-8174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD025493E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1471641 New York

Profile Details

NPI number 1083675870
LBN Legal business name Sternburg, Jon Kogod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 6th, 2009 - about 16 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 1083675870 NPPES
New York MEDICAID 00679718
New York Other 29942
New York Other 69A131
New York MEDICAID 000835304
New York Other 002313
New York Other ST415829

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