Provider Demographics
NPI:1558764209
Name:STARSNIC, MARY ANN
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANN
Last Name:STARSNIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 RIVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1063
Mailing Address - Country:US
Mailing Address - Phone:610-933-3838
Mailing Address - Fax:
Practice Address - Street 1:230 RIVERCREST DR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1063
Practice Address - Country:US
Practice Address - Phone:610-933-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015725E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology