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1730144338 NPI number — ZOHAR STARK MD PC

NPI Number: 1730144338
Health Care Provider/Practitioner: ZOHAR STARK MD PC

Information about “1730144338” NPI (ZOHAR STARK MD PC) exists in 1730144338 in HTML format HTML  |  1730144338 in plain Text format TXT  |  1730144338 in PDF (Portable Document Format) PDF  |  1730144338 in an XML format XML  formats.

NPI Number : 1730144338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730144338",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ZOHAR STARK MD PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "703 WHITE HORSE RD STE 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VOORHEES",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08043-2495",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-346-8686",
    "MailingAddressFaxNumber": "856-435-4363",
    "FirstLinePracticeLocationAddress": "261 OLD YORK RD",
    "SecondLinePracticeLocationAddress": "THE PAVILIONS, SUITE 304",
    "PracticeLocationAddressCityName": "JENKINTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19046-3706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-884-0313",
    "PracticeLocationAddressFaxNumber": "856-435-4363",
    "EnumerationDate": "04/18/2006",
    "LastUpdateDate": "07/09/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STARK",
    "AuthorizedOfficialFirstName": "ZOHAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "856-346-8686",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "46258",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "MD033566E",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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