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Individual

DR. SHARON W STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RN, APRN, BC

Contact information

Practice address
615 HOPE RD, TINTON FALLS, NJ 07724-1277
(732) 571-1000
(732) 571-1156
Mailing address
615 HOPE RD, TINTON FALLS, NJ 07724-1277
(732) 571-1000
(732) 571-1156

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NN0053736
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013478DAE
PTAN
NJ
Enumeration date
09/14/2006
Last updated
01/13/2012
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