Staradub, Valerie L.

Staradub, Valerie L. is an individual health care provider with primary practice located at 4701 Ogletown Stanton Rd Ste 1500 , Newark DE 19713-7022. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Staradub, Valerie L. can be contacted via phone (302) 623-4343.

Contact Information

Primary practice address
4701 Ogletown Stanton Rd Ste 1500 Newark DE 19713-7022
Phone: (302) 623-4343
Fax: (302) 623-4203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 222993 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 222993 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X C1-0024031 Delaware

Profile Details

NPI number 1063466712
LBN Legal business name Staradub, Valerie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063466712 NPPES
Massachusetts MEDICAID 2086051
Massachusetts Other 3654536
Massachusetts Other 467586
Massachusetts Other 91713
Massachusetts Other G07488
Massachusetts Other 0034200
Massachusetts Other 17-01748
Massachusetts Other J28196
Massachusetts Other 21251156949
Massachusetts Other 8956442
Massachusetts Other 7543310

Popular Providers