Randolph W. Stark, M.D., Pa in Manassas - Specialist
Randolph W. Stark, M.D., Pa - NPI 1639354244
Randolph W. Stark, M.D., Pa is a Specialist in Manassas, Virginia. Randolph W. Stark, M.D., Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Randolph W. Stark, M.D., Pa is 1639354244. The last update date is 2009-10-20.
Randolph W. Stark, M.D., Pa's current location address is 10680 Crestwood Dr Ste B, Manassas, Virginia. You can contact this provider via phone number 7033616054 and fax number 7033309095. The mailing address for Randolph W. Stark, M.D., Pa is 10680 Crestwood Dr Ste B, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randolph W. Stark, M.D., Pa |
|---|---|
| Address | 10680 Crestwood Dr Ste B, Manassas, Virginia |
| Phone Number | 7033616054 |
| Fax Number | 7033309095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Heinrich J Norma |
| Telephone Number | 8772579619 |
NPI Number Detail
| NPI Number | 1639354244 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2009-10-20 |
Provider Mailing Address Detail
| Address | 10680 Crestwood Dr Ste B |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201094402 |
| Phone Number | 7033616054 |
| Fax Number | 7033309095 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101036334 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Randolph W. Stark, M.D., Pa?
The Randolph W. Stark, M.D., Pa has been issued the NPI (National Provider Identifier) 1639354244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randolph W. Stark, M.D., Pa?
The Randolph W. Stark, M.D., Pa is physically situated at 10680 Crestwood Dr Ste B, in the city of Manassas, state of VA, with the postal code 201094402.
What is Randolph W. Stark, M.D., Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randolph W. Stark, M.D., Pa's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Randolph W. Stark, M.D., Pa receive its 1639354244?
The Randolph W. Stark, M.D., Pa was issued its 1639354244 on 2008-01-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Randolph W. Stark, M.D., Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randolph W. Stark, M.D., Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-20.