Individual
ELI R STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
Mailing address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2326760
MA
Other
Enumeration date
09/13/2019
Last updated
06/26/2023
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