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Ira R Stark, DO
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1710987854

Ira R Stark is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Ira R Stark practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Ira R Stark is 1710987854 and holds a License No. OS004175L (Pennsylvania).

The current practice location address for Ira R Stark is 230 N Broad St, Philadelphia, PA and can be reached out via phone at 215-762-1808 and via fax at 215-762-4721.

Location: 230 N Broad St, Philadelphia, PA, 19102-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710987854
Provider Name
Ira R Stark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
230 N Broad St, Philadelphia, PA, 19102-2100
Phone Number
215-762-1808
Fax Number
215-762-4721
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0371807 05 NJ
institution
Provider Business Practice Location Address Details
Address
230 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1121
Phone Number
215-762-1808
Fax Number
215-762-4721
person
Provider Business Mailing Address Details
Address
230 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1121
Phone Number
215-762-1808
Fax Number
215-762-4721
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
OS004175L (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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