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Individual

DR. RAN YEHUDA STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
135 S BRYN MAWR AVE STE 220, BRYN MAWR, PA 19010-3129
(484) 482-8809
(484) 380-3902
Mailing address
PO BOX 12, BRYN MAWR, PA 19010-0012
(484) 482-8809
(484) 380-3902

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25MA09279000
NJ
208200000X
Plastic Surgery Physician
Primary
MD457796
PA

Other

Enumeration date
06/04/2009
Last updated
11/04/2020
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