Provider Demographics
NPI:1265439475
Name:STERN, WILLIAM R (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:R
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10770 COLUMBIA PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4462
Mailing Address - Country:US
Mailing Address - Phone:240-485-5210
Mailing Address - Fax:301-309-0765
Practice Address - Street 1:15001 SHADY GROVE RD STE 300
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6353
Practice Address - Country:US
Practice Address - Phone:301-340-3252
Practice Address - Fax:301-340-1423
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2021-01-04
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Provider Licenses
StateLicense IDTaxonomies
MDD0022865207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD798861300Medicaid
C62425Medicare UPIN
MD190435A66Medicare ID - Type Unspecified