Individual
DR. JAMES J STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5835 HARBOUR VIEW BLVD, SUITE C, SUFFOLK, VA 23435-2657
(757) 397-4200
(757) 397-3872
Mailing address
5835 HARBOUR VIEW BLVD, SUITE C, SUFFOLK, VA 23435-2657
(757) 397-4200
(757) 397-3872
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101028190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15878
SENTARA/OPTIMA
VA
01
—
208484
ANTHEM BCBS
VA
01
—
3536407004
CIGNA
VA
01
—
4004872
AETNA
VA
01
—
656352
MAMSI (INTERNAL)
VA
01
—
8906547
NORTH CAROLINA MEDICAID
NC
01
—
956352
MAMSI (ONCOLOGY)
VA
Enumeration date
05/05/2006
Last updated
07/08/2007
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