Martin Steven Stark in Manassas - Podiatrist
Martin Steven Stark - NPI 1720050446
Martin Steven Stark is a Podiatrist in Manassas, Virginia. Martin Steven Stark practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Martin Steven Stark is 1720050446. The last update date is 2007-07-08.
Martin Steven Stark's current location address is 8577 Sudley Rd, Manassas, Virginia. You can contact this provider via phone number 7033687166 and fax number 7033685103. The mailing address for Martin Steven Stark is 8577 Sudley Rd, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Steven Stark |
|---|---|
| Address | 8577 Sudley Rd, Manassas, Virginia |
| Phone Number | 7033687166 |
| Fax Number | 7033685103 |
| Sole Proprietor | X |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1720050446 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8577 Sudley Rd |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201103860 |
| Phone Number | 7033687166 |
| Fax Number | 7033685103 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 103000264 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9331492 | VA | -- | |
| A8890001 | CAREFIRST BCBS | ||
| 90273 | ANTHEM BCBS | ||
| 4085685 | AETNA | ||
| 442570002 | DMERC | ||
| 32614 | UNITED HEALTH CARE MAMSI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Martin Steven Stark by the Centers for Medicare & Medicaid Services?
The Martin Steven Stark has been issued the NPI (National Provider Identifier) 1720050446, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Martin Steven Stark is physically located?
The Martin Steven Stark is situated at the following address: 8577 Sudley Rd, Manassas, VA 201103860.
What is Martin Steven Stark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin Steven Stark's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When did Martin Steven Stark receive its 1720050446 assignment?
The Martin Steven Stark was assigned its 1720050446 on 2006-02-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Martin Steven Stark most recently updated or refreshed?
The details pertaining to the Martin Steven Stark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.