Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randolph W. Stark, MD, PA

Organization Specialist · NPI 1639354244

Randolph W. Stark, MD, PA is a Specialist in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10680 Crestwood Dr Ste B
Manassas, VA 20109-4402
Phone: (703) 361-6054
Fax: (703) 330-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101036334 (VA)

Record details

NPI number1639354244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norma Heinrich — Office Manager · (877) 257-9619
NPI enumeratedJanuary 2, 2008
Last updated in NPPESOctober 20, 2009
Mailing address10680 Crestwood Dr Ste B, Manassas, VA 20109-4402

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