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Dr. Jennie Thomas Stanford, MD
Clinic/Center in New Canaan, Connecticut
NPI 1588028153

Jennie Thomas Stanford is a Clinic/Center based in New Canaan, CT. Jennie Thomas Stanford practices in New Canaan, CT and has the professional credentials of MD. The NPI Number for Jennie Thomas Stanford is 1588028153 and holds a License No. 1992372403 (Connecticut).

The current practice location address for Jennie Thomas Stanford is 69 Grove St, New Canaan, CT and can be reached out via phone at 844-359-8363 and via fax at 833-929-3520.

Location: 69 Grove St, New Canaan, CT, 06840-5325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588028153
Provider Name
Jennie Thomas Stanford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
69 Grove St, New Canaan, CT, 06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520
Provider Enumeration Date
04/11/2016
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07129501 05 MS
institution
Provider Business Practice Location Address Details
Address
69 Grove St
City
New Canaan
State
Connecticut
Zip
06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520
person
Provider Business Mailing Address Details
Address
69 Grove St
City
New Canaan
State
Connecticut
Zip
06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1992372403 (Connecticut)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
1992372403 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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