Individual
JONATHAN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 MAZDABROOK RD, PARSIPPANY, NJ 07054-3304
(973) 952-5300
Mailing address
152 WESTERN AVE, MORRISTOWN, NJ 07960-5035
(973) 634-5024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00352200
NJ
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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