person
Mr. Jeffrey L Stark, PA-C
Surgical Physician Assistant in Randallstown, Maryland
NPI 1356303630

Jeffrey L Stark is a Surgical Physician Assistant based in Randallstown, MD and is specialized in Surgical. Jeffrey L Stark practices in Randallstown, MD and has the professional credentials of PA-C. The NPI Number for Jeffrey L Stark is 1356303630 and holds a License No. C00511 (Maryland).

The current practice location address for Jeffrey L Stark is 5401 Old Court Rd, Randallstown, MD and can be reached out via phone at 410-521-2200 and via fax at 410-922-6031.

Location: 5401 Old Court Rd, Randallstown, MD, 21133-5103
person
Provider Profile Details
NPI Number
1356303630
Provider Name
Jeffrey L Stark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5401 Old Court Rd, Randallstown, MD, 21133-5103
Phone Number
410-521-2200
Fax Number
410-922-6031
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5401 Old Court Rd
City
State
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
410-922-6031
person
Provider Business Mailing Address Details
Address
5401 Old Court Rd
City
State
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
410-922-6031
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C00511 (Maryland)
Definition
Definition to come...
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