William Stark M.D.

NPI 1063599736 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063599736
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5415 CONNECTICUT AVE NW
T43
WASHINGTON DC, 20015-2765, US
Phone (301) 986-4646
Fax
Business Location
5630 WISCONSIN AVE
#505
CHEVY CHASE MD, 20815-4450, US
Phone (301) 986-4646
Fax (301) 986-8065
Toxanomy
Taxonomy Code 2084P0800X
License State DO Columbia
License Number 1386
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According to our database, William Stark M.D. NPI is 1063599736, taxonomy code is 2084P0800X and license number is 1386, license state is located at DO Columbia. William Stark M.D. physically located at 5415 Connecticut Ave Nw, Washington DC, 20015-2765. NPI Number William Stark M.D. has the Individual type.

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1063599736 NPI number is provided on an as is basis without warranty of any kind. 1063599736 is maintained by the National Plan & Provider Enumeration System. The contents of William Stark M.D. are for informational purposes only.