Individual
TODD S STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 COLLYER ST STE 302, PROVIDENCE, RI 02904-1869
(401) 228-0633
(401) 793-5171
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LP01494
RI
208600000X
Surgery Physician
Primary
MD14236
RI
Other
Enumeration date
06/23/2008
Last updated
01/29/2020
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