Paulette Denise Stanford

MD | Pediatric Adolescent Medicine | Female

Paulette Denise Stanford, MD is a Newark, New Jersey based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of Paulette Denise Stanford is 90 Bergen St, Doc 4300, Newark, New Jersey - 07103-2425. She can be contacted on phone at 973-972-2100 and fax number 973-972-2102. Paulette Denise Stanford is a sole proprietor of her business.
NPI number (Unique professional ID) for Paulette Denise Stanford is 1801967740 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 18 Aug, 2009. Paulette Denise Stanford license number is 25MA03453500 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Paulette Denise Stanford specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Paulette Denise Stanford basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Paulette Denise Stanford
Credential :MD
Gender :Female
Business Address:
Paulette Denise Stanford address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :90 Bergen St, Doc 4300
Newark, NJ, 07103-2425
United States
Phone Number :973-972-2100
Fax Number :973-972-2102
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1801967740
NPI Entity Type : Individual
First Enrolment Date : 13 Nov, 2006
Last Updated On : 18 Aug, 2009
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paulette Denise Stanford are as mentioned. Primary taxonomy code for Paulette Denise Stanford, MD is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYes25MA03453500NJ
Legacy Identifiers:
Other legacy medical identifiers of Paulette Denise Stanford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
0648507MEDICAIDNJ
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :30 Bergen St, Admc 12 1205
Newark, NJ, 07107-3000
United States
Business Location:
Patients can refer following map for directions to Paulette Denise Stanford practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.