Stanford, Paulette Denise
Stanford, Paulette Denise is an individual health care provider with primary practice located at 90 Bergen St Doc 4300, Newark NJ 07103-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Stanford, Paulette Denise can be contacted via phone (973) 972-2100.Contact Information
Primary practice address
90 Bergen St Doc 4300
Newark NJ 07103-2425
Phone: (973) 972-2100
Fax: (973) 972-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA03453500 | New Jersey |
Profile Details
| NPI number | 1801967740 |
|---|---|
| LBN Legal business name | Stanford, Paulette Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 18th, 2009 - about 16 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 | 1801967740 | NPPES |
| New Jersey | MEDICAID | 0648507 |
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