Basic Information
| Provider Information | |||||||||
| NPI: | 1447639562 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STERNBERG | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 858 | ||||||||
| Address2: | MC A410 | ||||||||
| City: | HERSHEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170330858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002431455 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 500 UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | HERSHEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170332360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175318955 | ||||||||
| FaxNumber: | 7175314587 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2015 | ||||||||
| LastUpdateDate: | 10/14/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 140221 | FL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 83489 | GA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 52497 | KY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | MD472043 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 294505 | NY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 0000059133 | TN | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.