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Individual
DR. JENNIE THOMAS STANFORD
Active
Individual
DR. JENNIE THOMAS STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26586
MS
261Q00000X
Clinic/Center
1043889967
NY
261QM2500X
Medical Specialty Clinic/Center
1992372403
CT
261QM2500X
Medical Specialty Clinic/Center
1992372403
NJ
Other
Enumeration date
04/11/2016
Last updated
07/24/2026
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