JENNIE THOMAS STANFORD

NEW CANAAN, CT
NPI1588028153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NY  1043889967)
Additional Taxonomies261QM2500X Clinic/Center, Medical Specialty
(Licence: NJ  1992372403)
261QM2500X Clinic/Center, Medical Specialty
(Licence: CT  1992372403)
Enumeration Date2016-04-11
Last Update Date2024-07-16
Business Address
Dr. JENNIE THOMAS STANFORD M.D.
69 GROVE ST
NEW CANAAN, CT 06840-5325
Phone number: 844-359-8363
Mailing Address
Dr. JENNIE THOMAS STANFORD M.D.
69 GROVE ST
NEW CANAAN, CT 06840-5325
Phone number: 844-359-8363