Healthcare Provider Details

I. General information

NPI: 1720182991
Provider Name (Legal Business Name): STARLING PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KENSINGTON AVE STARLING PHYSICIANS
NEW BRITAIN CT
06051-3916
US

IV. Provider business mailing address

2110 SILAS DEANE HWY STARLING PHYSICIANS
ROCKY HILL CT
06067-2313
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-6222
  • Fax: 860-224-6260
Mailing address:
  • Phone: 860-258-3480
  • Fax: 860-571-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number StateCT

VIII. Authorized Official

Name: JEFFREY D LEBENGER
Title or Position: CEO
Credential:
Phone: 908-790-6567