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1669436820
JACK MARSHALL STARK
DANBURY, CT
NPI
1669436820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000044)
Enumeration Date
2006-04-14
Last Update Date
2022-10-20
Business Address
Mr. JACK MARSHALL STARK PA-C
100 RESERVE RD STE A4
DANBURY, CT 06810-5267
Phone number: 203-794-1979
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Mailing Address
Mr. JACK MARSHALL STARK PA-C
100 RESERVE RD STE A4
DANBURY, CT 06810-5267
Phone number: 203-794-1979
Copy
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