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Randolph W. Stark, M.d., Pa
Specialist in Manassas, Virginia
NPI 1639354244

Randolph W. Stark, M.d., Pa is a Specialist based in Manassas, VA. Randolph W. Stark, M.d., Pa practices in Manassas, VA. The NPI Number for Randolph W. Stark, M.d., Pa is 1639354244 and holds a License No. 0101036334 (Virginia).

The current practice location address for Randolph W. Stark, M.d., Pa is 10680 Crestwood Dr Ste B, Manassas, VA and can be reached out via phone at 703-361-6054 and via fax at 703-330-9095. You can also correspond with Randolph W. Stark, M.d., Pa through the mailing address at 10680 CRESTWOOD DR STE B, MANASSAS, VA - 20109-4402 (mailing address contact number: 703-361-6054).

Location: 10680 Crestwood Dr Ste B, Manassas, VA, 20109-4402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639354244
Provider Name
Randolph W. Stark, M.d., Pa
Credential
Provider Entity Type
Organization
Address
10680 Crestwood Dr Ste B, Manassas, VA, 20109-4402
Phone Number
703-361-6054
Fax Number
703-330-9095
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10680 Crestwood Dr Ste B
City
Manassas
State
Virginia
Zip
20109-4402
Phone Number
703-361-6054
Fax Number
703-330-9095
person
Provider Business Mailing Address Details
Address
10680 Crestwood Dr Ste B
City
Manassas
State
Virginia
Zip
20109-4402
Phone Number
703-361-6054
Fax Number
703-330-9095
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101036334 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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