Individual
DR. STUART R STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6845 ELM ST STE 514, MC LEAN, VA 22101-3822
(703) 266-6500
(703) 229-0367
Mailing address
6845 ELM ST STE 514, MC LEAN, VA 22101-3822
(703) 266-6500
(703) 229-0367
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101035202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101937
—
VA
01
—
884143
MEDICARE PTAN
VA
Enumeration date
01/24/2006
Last updated
01/06/2018
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