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1801967740
PAULETTE DENISE STANFORD
NEWARK, NJ
NPI
1801967740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NJ 25MA03453500)
Enumeration Date
2006-11-13
Last Update Date
2009-08-18
Business Address
-- PAULETTE DENISE STANFORD MD
90 BERGEN ST DOC 4300
NEWARK, NJ 07103-2425
Phone number: 973-972-2100
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Mailing Address
-- PAULETTE DENISE STANFORD MD
30 BERGEN ST ADMC 12 1205
NEWARK, NJ 07107-3000
Phone number:
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