Individual
ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # ROSE3, BOSTON, MA 02215
(617) 667-3276
(617) 667-7040
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
L8964
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD47955
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164973301
—
TX
Enumeration date
10/17/2006
Last updated
09/04/2018
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