Stark, Malcolm Truman

Stark, Malcolm Truman is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Stark, Malcolm Truman can be contacted via phone (336) 547-1700.

Contact Information

Primary practice address
520 N Elam Ave Greensboro NC 27403-1127
Phone: (336) 547-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35521 North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35521 North Carolina

Profile Details

NPI number 1891745261
LBN Legal business name Stark, Malcolm Truman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891745261 NPPES
North Carolina Other 4238777 AETNA
North Carolina MEDICAID 8979130 AETNA
North Carolina Other 2109 AETNA
North Carolina Other 42358 AETNA
North Carolina Other 79365 AETNA

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