Stark, Bruce I
Stark, Bruce I is an individual health care provider with primary practice located at 915 Old Fern Hill Rd Building B Suite 200, West Chester PA 19380-4269. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Stark, Bruce I can be contacted via phone (610) 696-1230.Contact Information
Primary practice address
915 Old Fern Hill Rd Building B Suite 200
West Chester PA 19380-4269
Phone: (610) 696-1230
Fax: (610) 918-0803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD022743E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD022743E | Pennsylvania |
Profile Details
| NPI number | 1689674921 |
|---|---|
| LBN Legal business name | Stark, Bruce I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | May 2nd, 2019 - about 5 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 | 1689674921 | NPPES |
| Pennsylvania | MEDICAID | 0012038590007 | |
| Pennsylvania | MEDICAID | 001203859 |
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