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 |
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| Provider Name : | Paulette Denise Stanford |
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| Credential : | MD |
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| Gender : | Female |
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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 |
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| Phone Number : | 973-972-2100 |
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| Fax Number : | 973-972-2102 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 18 Aug, 2009 |
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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 | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 25MA03453500 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Paulette Denise Stanford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0648507 | MEDICAID | NJ | |
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 |
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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.