MR. JACK STARK, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1669436820
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 000044 (CT) |
Frequently Asked Questions
NPI 1669436820 is the National Provider Identifier for MR. JACK STARK, PA-C, a Physician Assistant - Medical provider located in Danbury, CT. This NPI was enumerated on April 14, 2006.
MR. JACK STARK, PA-C practices at 100 RESERVE RD STE A4, Danbury, CT 06810.
Quick Facts
- NPI
- 1669436820
- Type
- Individual
- Enumerated
- Apr 14, 2006
- Last Updated
- Oct 20, 2022
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