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Individual

ALEKSANDRA C STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, DH - NEUROLOGY, LEBANON, NH 03756-1000
(603) 650-5104
Mailing address
1 MEDICAL CENTER DR, DH - NEUROLOGY, LEBANON, NH 03756-1000
(603) 650-5104

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
16356
NH
2084N0400X
Neurology Physician
Primary
16356
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022871
VT
05
3095415
NH
Enumeration date
05/31/2007
Last updated
10/14/2016
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