Paulette Denise Stanford, MD Valid NPI

Individual provider · Pediatric Adolescent Medicine Physician · Newark, NJ

NPI

1801967740

Type

Individual (Type 1)

Primary specialty

Pediatric Adolescent Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080A0000X

License number

25MA03453500 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-13

Last updated

2009-08-18