DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRA R STARK, DO

Active Sole Proprietor

Diagnostic Radiology · PHILADELPHIA, PA

Registration Details

NPI Number
1710987854
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2005 (20.745166513163 yrs)
Last Updated
Aug 12, 2014
License
OS004175L (PA)
Sole Proprietor
Yes

Practice Information

Address
230 N BROAD ST
PHILADELPHIA, PA, 191021121
Browse PA providers · Browse ZIP 19102
Phone
2157621808
Fax
2157624721
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in PHILADELPHIA, PA

Name Credential NPI
DR. FLAVIUS F. GUGLIELMO MD 1346246642
DR. NANCY JACOBS GOLDENBERG M.D. 1841297736
STEVEN DAVID HERMAN M.D. 1609876689
NEIL J BERGER DO 1376535997
SUAT ENG TER M.D. 1689666125
DR. TREY L KAMPLAIN M.D. 1053305680
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.