Individual provider · Type 1 NPI

Jennie Thomas Stanford, MD

Family Medicine Physician · New Canaan, CT

NPI number 1588028153 Active

Practice location

69 Grove St
New Canaan, CT 06840-5325

Call (844) 359-8363 Map

Fax (833) 929-3520

Other practice locations

  • 500 W Main St Ste 16, Wyckoff, NJ 07481-1406 · (844) 359-8363
  • 148 E 38th St, New York, NY 10016-2607 · (844) 359-8363

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X26586 (MS)
Medical Specialty Clinic/Center 261QM2500X1992372403 (CT)
Medical Specialty Clinic/Center 261QM2500X1992372403 (NJ)
Clinic/Center 261Q00000X1043889967 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

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About NPI 1588028153

Jennie Thomas Stanford, MD's National Provider Identifier is 1588028153, issued on Apr 11, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New Canaan, CT. The record was last updated on Jul 24, 2026.