Randolph W. Stark, M.D., Pa

LBN: Randolph W. Stark, M.D., Pa
Randolph W. Stark, M.D., Pa is an health care organization with primary practice located at 10680 Crestwood Dr Ste B , Manassas VA 20109-4402. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Randolph W. Stark, M.D., Pa can be contacted via phone (703) 361-6054, or through Heinrich, Norma J via phone (877) 257-9619.

Contact Information

Primary practice address
10680 Crestwood Dr Ste B Manassas VA 20109-4402
Phone: (703) 361-6054
Fax: (703) 330-9095
Website:
Map and Directions
Authorized official contact:
Name: Heinrich, Norma J
Phone: (877) 257-9619

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101036334 Virginia

Profile Details

NPI number 1639354244
LBN Legal business name Randolph W. Stark, M.D., Pa
DBA Doing business as
Authorized official Heinrich, Norma J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Oct 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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