Provider Demographics
NPI:1780937730
Name:STAR, ROBERT ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:STAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6707 DEMOCRACY BLVD
Mailing Address - Street 2:ROOM 625
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-5458
Mailing Address - Country:US
Mailing Address - Phone:301-496-6325
Mailing Address - Fax:301-480-3510
Practice Address - Street 1:6707 DEMOCRACY BLVD
Practice Address - Street 2:ROOM 625
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-5458
Practice Address - Country:US
Practice Address - Phone:301-496-6325
Practice Address - Fax:301-480-3510
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
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Provider Licenses
StateLicense IDTaxonomies
MDD0057563207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology