JEFFREY L STARK

RANDALLSTOWN, MD
NPI1356303630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C00511)
Enumeration Date2006-04-04
Last Update Date2007-11-29
Business Address
Mr. JEFFREY L STARK PA-C
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 410-521-2200
Mailing Address
Mr. JEFFREY L STARK PA-C
5401 OLD COURT RD ATTN: CREDENTIALING
RANDALLSTOWN, MD 21133-5103
Phone number: 410-601-5524
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