Provider Demographics
NPI:1871524280
Name:STERNBERG, MARTHA S (MD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:S
Last Name:STERNBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:UCONN STUDENT HEALTH SERVICES
Mailing Address - Street 2:234 GLENBROOK ROAD
Mailing Address - City:STORRS MANSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06269-0001
Mailing Address - Country:US
Mailing Address - Phone:860-486-0748
Mailing Address - Fax:860-486-1597
Practice Address - Street 1:UCONN STUDENT HEALTH SERVICES
Practice Address - Street 2:234 GLENBROOK ROAD
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06269-0001
Practice Address - Country:US
Practice Address - Phone:860-486-0748
Practice Address - Fax:860-486-1597
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT025809208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics