MEDICARE: HAL FLETCHER STARNES JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1083256564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAL FLETCHER STARNES JR.

Provider Business Mailing Address
First Line	:	381 CHURCH ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8640
Country	:	US
Telephone Number	:	518-432-2020
Fax Number	:	518-432-2063

Provider Business Practice Location Address
First Line	:	381 CHURCH ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8640
Country	:	US
Telephone Number	:	518-432-2020
Fax Number	:	518-432-2063

Authorized Official
Title or Position	:	OWNER
Name	:	HAL FLETCHER STARNS JR.
Credential	:	MD
Telephone Number	:	518-421-5328

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	10/16/2019

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