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Individual

BRUCE I STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
915 OLD FERN HILL RD, BUILDING B SUITE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 918-0803
Mailing address
915 OLD FERN HILL RD, BUILDING B SUITE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 918-0803

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD022743E
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD022743E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001203859
PA
05
0012038590007
PA
Enumeration date
07/28/2005
Last updated
05/02/2019
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