Provider Demographics
NPI:1437478773
Name:STERN, ANDREA L (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:STERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:L
Other - Last Name:RIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1030 NEW HOLLAND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5690
Mailing Address - Country:US
Mailing Address - Phone:717-653-2929
Mailing Address - Fax:717-492-0699
Practice Address - Street 1:1001 CORNERSTONE DR
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9416
Practice Address - Country:US
Practice Address - Phone:717-653-2929
Practice Address - Fax:717-492-0699
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102846364Medicaid
PA002897901OtherHIGHMARK
PA308143Medicare PIN