Individual provider · Type 1 NPI

Paulette Denise Stanford, MD

Pediatric Adolescent Medicine Physician · Newark, NJ

NPI number 1801967740 Active

Practice location

90 Bergen St, Doc 4300
Newark, NJ 07103-2425

Call (973) 972-2100 Map

Fax (973) 972-2102

Mailing address

30 Bergen St, Admc 12 1205
Newark, NJ 07107-3000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X25MA03453500 (NJ)

Pediatric Adolescent Medicine Physician: 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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About NPI 1801967740

Paulette Denise Stanford, MD's National Provider Identifier is 1801967740, issued on Nov 13, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Newark, NJ. The record was last updated on Aug 18, 2009.