Paulette Denise Stanford in Newark - Adolescent Medicine
Paulette Denise Stanford - NPI 1801967740
Paulette Denise Stanford is a Adolescent Medicine in Newark, New Jersey. Paulette Denise Stanford practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Paulette Denise Stanford is 1801967740. The last update date is 2009-08-18.
Paulette Denise Stanford's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739722100 and fax number 9739722102. The mailing address for Paulette Denise Stanford is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paulette Denise Stanford |
|---|---|
| Address | 90 Bergen St, Newark, New Jersey |
| Phone Number | 9739722100 |
| Fax Number | 9739722102 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801967740 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2009-08-18 |
Provider Mailing Address Detail
| Address | 90 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71032425 |
| Phone Number | 9739722100 |
| Fax Number | 9739722102 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 25MA03453500 |
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Definition: A pediatrician who 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 648507 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paulette Denise Stanford by the Centers for Medicare & Medicaid Services?
The Paulette Denise Stanford has been issued the NPI (National Provider Identifier) 1801967740, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paulette Denise Stanford?
The Paulette Denise Stanford is situated at 90 Bergen St, in the city of Newark, state of NJ, with the zip code 71032425.
What is Paulette Denise Stanford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paulette Denise Stanford is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
When did Paulette Denise Stanford receive its 1801967740 assignment?
The Paulette Denise Stanford was assigned its 1801967740 on 2006-11-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Paulette Denise Stanford's details last updated?
The information pertaining to the Paulette Denise Stanford, including its address, specialty, and other details, was most recently updated on 2009-08-18.