Individual
MR. SANFORD R. STARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA, PHD
Contact information
Practice address
323 S GIRARD ST, WOODBURY, NJ 08096-5759
(856) 853-9277
(856) 853-1633
Mailing address
323 S GIRARD ST, WOODBURY, NJ 08096-5759
(856) 853-9277
(856) 853-1633
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR06803000
NJ
Other
Enumeration date
05/28/2005
Last updated
07/08/2007
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