Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIE THOMAS STANFORD, M.D.
Active Sole ProprietorClinic/Center · NEW CANAAN, CT
Registration Details
- NPI Number
- 1588028153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2016 (10.02816407933 yrs)
- Last Updated
- Jul 16, 2024
- Licenses
-
1992372403 (NJ)1992372403 (CT)1043889967 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 GROVE STNEW CANAAN, CT, 068405325Browse CT providers · Browse ZIP 06840
- Phone
- 8443598363
- Fax
- 8339293520
- Primary Specialty
-
Clinic/Center
261Q00000X
- Additional Specialty
- Medical Specialty Clinic
- Additional Specialty
- Clinic/Center
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.