Stanford, Brian John
Stanford, Brian John is an individual health care provider with primary practice located at 110 Rehill Avenue , Somerville NJ 08876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Stanford, Brian John can be contacted via phone (908) 685-2935.Contact Information
Primary practice address
110 Rehill Avenue
Somerville NJ 08876
Phone: (908) 685-2935
Fax: (908) 704-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MB06394900 | New Jersey |
Profile Details
| NPI number | 1811095979 |
|---|---|
| LBN Legal business name | Stanford, Brian John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811095979 | NPPES |
| New Jersey | MEDICAID | 7363401 |
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