Individual
TALIA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3375
(215) 707-4758
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD485591
PA
Other
Enumeration date
04/28/2019
Last updated
07/05/2024
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