Individual
DR. CALVIN RANDOLPH STAFFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER BLVD, SUITE 533, UPLAND, PA 19013-3902
(610) 619-7475
(610) 619-7477
Mailing address
ONE MEDICAL CENTER BLVD, SUITE 533, UPLAND, PA 19013-3902
(610) 874-1184
(610) 874-4258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD013709E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0646325
—
PA
Enumeration date
06/28/2005
Last updated
11/15/2012
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