Edward Stark is a Urology in Lawrenceville, Georgia. Edward Stark practices all healthcare services and medical treatments related to Urology. The NPI Number for Edward Stark is 1093727166. The last update date is 2023-03-07.
Edward Stark's current location address is 500 Medical Center Blvd, Lawrenceville, Georgia. You can contact this provider via phone number 7709632451 and fax number 7709620017. The mailing address for Edward Stark is 500 Medical Center Blvd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stark |
|---|---|
| Address | 500 Medical Center Blvd, Lawrenceville, Georgia |
| Phone Number | 7709632451 |
| Fax Number | 7709620017 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093727166 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 500 Medical Center Blvd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 30046 |
| Phone Number | 7709632451 |
| Fax Number | 7709620017 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 41680 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340015407 | GA | RAILROAD MEDICARE | |
| 000707891G | GA | -- |
Post Comment/ Review Below
What is the Edward Stark's 1093727166?
The Edward Stark's NPI (National Provider Identifier) Number is 1093727166. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edward Stark's facilities are situated?
The facilities of Edward Stark are physically located at the following address: 500 Medical Center Blvd, Lawrenceville, GA, 30046.
What is Edward Stark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Stark's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date did Edward Stark receive its 1093727166 assignment from the Centers for Medicare & Medicaid Services?
The Edward Stark was assigned its 1093727166 on 2006-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edward Stark most recently updated or revised?
The details related to Edward Stark, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY