| Edra Stern Md Llc | |
|
1455 East Putnam Ave 2nd Floor Old Greenwich CT 06870-1360 | |
| (203) 661-4242 | |
| (203) 625-9626 |
| Full Name | Edra Stern Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1455 East Putnam Ave, Old Greenwich, Connecticut |
| Authorized Official Name and Position | Edra Stern (PHYSICIAN / OWNER) |
| Authorized Official Contact | 2036614242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edra Stern Md Llc 1455 East Putnam Ave 2nd Floor Old Greenwich CT 06870-1360 Ph: (203) 661-4242 | Edra Stern Md Llc 1455 East Putnam Ave 2nd Floor Old Greenwich CT 06870-1360 Ph: (203) 661-4242 |
| NPI Number | 1184124075 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Medicare PECOS PAC ID | 2062774276 |
|---|---|
| Medicare Enrollment ID | O20180328002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184124075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edra L Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164624557 PECOS PAC ID: 6608920558 Enrollment ID: I20090812000550 |
Frederick E. Siefert, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 W End Ave, Old Greenwich, CT 06870 Phone: 203-637-5406 Fax: 203-637-5408 | |
Rebecca Warkol Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 W End Ave, Old Greenwich, CT 06870 Phone: 203-637-5406 Fax: 203-637-5408 | |
Old Greenwich Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 W End Ave, Old Greenwich, CT 06870 Phone: 203-637-5400 Fax: 203-637-5408 |