Provider Demographics
NPI:1467229518
Name:STARR GERIATRICS, LLC
Entity Type:Organization
Organization Name:STARR GERIATRICS, LLC
Other - Org Name:STARR GERIATRICS PRIMARY CARE MEMBERSHIP PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:857-523-9493
Mailing Address - Street 1:264 ELM ST STE 12
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2857
Mailing Address - Country:US
Mailing Address - Phone:857-523-9493
Mailing Address - Fax:
Practice Address - Street 1:264 ELM ST STE 12
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2857
Practice Address - Country:US
Practice Address - Phone:857-523-9493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STARR GERIATRICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-08
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty