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STARK PEDIATRICS INC NPI 1619299559


NPI Information

NPI: 1619299559
Provider Name: STARK PEDIATRICS INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D0343407

Address:
3030 TUSCARAWAS ST W
SUITE 300
CANTON, OH
ZIP 44708
Phone: (330) 452-6109
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STARK PEDIATRICS INC is a pediatrics in Canton, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. STARK PEDIATRICS INC NPI is 1619299559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 TUSCARAWAS ST W
SUITE 300
CANTON, OH
ZIP 44708-197
Phone: (330) 452-6109
Fax: (330) 452-5060

The provider's authorized official is Asif Younus .
The authorized official title is President and has the following contact phone number (330) 452-6109.

The CLIA number assigned to this NPI record is 36D0343407 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/19/2010 and was last updated on 2/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics35076415YOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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