| Mr Jack Marshall Stark, PA-C | |
|
100 Reserve Rd Ste A4, Danbury, CT 06810-5267 | |
| (203) 794-1979 | |
| (203) 794-1796 |
| Full Name | Mr Jack Marshall Stark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 100 Reserve Rd Ste A4, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669436820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 000044 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Marshall Stark, PA-C 100 Reserve Rd Ste A4, Danbury, CT 06810-5267 Ph: (203) 794-1979 | Mr Jack Marshall Stark, PA-C 100 Reserve Rd Ste A4, Danbury, CT 06810-5267 Ph: (203) 794-1979 |
Mr. Peter X Zhang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Beth Andersen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 67 Sand Pit Rd, Suite 308, Danbury, CT 06810 Phone: 203-743-7246 Fax: 203-792-3920 | |
Patrick Edward Killeen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7940 | |
Christine L. Leahy Keenan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, 5 South, Danbury, CT 06810 Phone: 203-737-7915 | |
Rachele Struthers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7129 Fax: 203-749-9006 | |
Philip Black, ATC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Riverview Dr, Danbury, CT 06810 Phone: 203-797-1500 | |
Miss Gina K Porto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33 Hospital Ave., Danbury, CT 06810 Phone: 203-792-2003 Fax: 203-739-8926 |