Stark, Ann
Stark, Ann is an individual health care provider with primary practice located at 330 Brookline Ave # Rose3 , Boston MA 02215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Stark, Ann can be contacted via phone (617) 667-3276.Contact Information
Primary practice address
330 Brookline Ave # Rose3
Boston MA 02215
Phone: (617) 667-3276
Fax: (617) 667-7040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | L8964 | Texas |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD47955 | Tennessee |
Profile Details
| NPI number | 1073693412 |
|---|---|
| LBN Legal business name | Stark, Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 4th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073693412 | NPPES |
| Texas | MEDICAID | 164973301 |
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