Organization
STARK HEALTH SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A STARK CRNA (PRESIDENT)
(301) 317-0020
Entity
Organization
Contact information
Practice address
5604 FRIENDSHIP RD, HALETHORPE, MD 21227-4205
(410) 227-8898
(301) 317-0028
Mailing address
5604 FRIENDSHIP RD, HALETHORPE, MD 21227-4205
(410) 227-8898
(301) 317-0028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R083302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401937700
—
MD
01
—
J214-0001
BCBS
DC
01
—
NA44B
BCBS
MD
Enumeration date
07/17/2009
Last updated
07/17/2009
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