Martin Steven Stark is a Manassas, Virginia based male podiatrist who is specialized in Podiatry. Active license number of Martin Steven Stark for Podiatry is 0103000264 in Virginia. Martin Steven Stark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Martin Steven Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
8577 Sudley Rd, Manassas, Virginia, 20110-3860
Phone:
703-368-7166
Fax:
703-368-5103
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720050446
NPI Enumeration Date:
06 Feb, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martin Steven Stark are as mentioned below.
License Number
Specialization
State
Status
0103000264
Podiatry
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Martin Steven Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9331492
Medicaid
Virginia
A8890001
Other
CAREFIRST BCBS
090273
Other
ANTHEM BCBS
4085685
Other
AETNA
0442570002
Other
DMERC
32614
Other
UNITED HEALTH CARE MAMSI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8577 Sudley Rd, Manassas, Virginia
Zip:
20110-3860
Phone Number:
703-368-7166
Fax Number:
703-368-5103
Patients can reach Martin Steven Stark at 8577 Sudley Rd, Manassas, Virginia or can call to book an appointment on 703-368-7166. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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