| Thomas K. Stern, M.d. P.c. | |
|
3000 Colby St Ste 110 Berkeley CA 94705-2090 | |
| (510) 649-1249 | |
| (510) 649-1245 |
| Full Name | Thomas K. Stern, M.d. P.c. |
|---|---|
| Speciality | General Practice |
| Location | 3000 Colby St Ste 110, Berkeley, California |
| Authorized Official Name and Position | Thomas K. Stern (OWNER) |
| Authorized Official Contact | 5106491249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K. Stern, M.d. P.c. 3000 Colby St Ste 110 Berkeley CA 94705-2090 Ph: (510) 649-1249 | Thomas K. Stern, M.d. P.c. 3000 Colby St Ste 110 Berkeley CA 94705-2090 Ph: (510) 649-1249 |
| NPI Number | 1245518224 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245518224 | NPI | - | NPPES |
| GR0017760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G25191 (California) | Primary |
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