Individual
DR. EMILY PAMELA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 679-2000
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049933
CT
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
049933
CT
Other
Enumeration date
04/11/2008
Last updated
04/08/2025
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