Provider Demographics
NPI:1699714899
Name:STERMAN, PAUL L (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:L
Last Name:STERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2715
Mailing Address - Country:US
Mailing Address - Phone:732-521-0800
Mailing Address - Fax:732-521-0833
Practice Address - Street 1:2 RESEARCH WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-6816
Practice Address - Country:US
Practice Address - Phone:732-521-0800
Practice Address - Fax:732-521-0833
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07721600174400000X
NJ25MA07721600207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0063428Medicaid
NJ082237YEMOtherMEDICARE
NJ001625732OtherHIGHMARK BLUE SHIELD
NJ0007377605OtherAETNA
NJ2K9120OtherHEALTH NET
NJP0016162OtherRR MEDICARE
NJ1376429OtherCIGNA
NJ2302268000OtherAMERIHEALTH
NJ0007377605OtherAETNA
NJ2302268000OtherAMERIHEALTH