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Martin Steven Stark, DPM
Podiatrist in Manassas, Virginia
NPI 1720050446

Martin Steven Stark is a Podiatrist based in Manassas, VA. Martin Steven Stark practices in Manassas, VA and has the professional credentials of DPM. The NPI Number for Martin Steven Stark is 1720050446 and holds a License No. 0103000264 (Virginia).

The current practice location address for Martin Steven Stark is 8577 Sudley Rd, Manassas, VA and can be reached out via phone at 703-368-7166 and via fax at 703-368-5103. You can also correspond with Martin Steven Stark through the mailing address at 8577 SUDLEY RD, MANASSAS, VA - 20110-3860 (mailing address contact number: 703-368-7166).

Location: 8577 Sudley Rd, Manassas, VA, 20110-3860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720050446
Provider Name
Martin Steven Stark
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
8577 Sudley Rd, Manassas, VA, 20110-3860
Phone Number
703-368-7166
Fax Number
703-368-5103
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9331492 05 VA
A8890001 01 CAREFIRST BCBS
090273 01 ANTHEM BCBS
4085685 01 AETNA
0442570002 01 DMERC
32614 01 UNITED HEALTH CARE MAMSI
institution
Provider Business Practice Location Address Details
Address
8577 Sudley Rd
City
Manassas
State
Virginia
Zip
20110-3860
Phone Number
703-368-7166
Fax Number
703-368-5103
person
Provider Business Mailing Address Details
Address
8577 Sudley Rd
City
Manassas
State
Virginia
Zip
20110-3860
Phone Number
703-368-7166
Fax Number
703-368-5103
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
0103000264 (Virginia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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