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Individual

DR. DAVID DANIEL STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19 HOMEWARD LN, MONTAUK, NY 11954-5295
(212) 969-9096
Mailing address
209 E DILIDO DR, MIAMI BEACH, FL 33139-1229
(212) 969-9096

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219922
NY
2085R0202X
Diagnostic Radiology Physician
52224
MA

Other

Enumeration date
04/04/2007
Last updated
03/07/2023
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