EMILY P STANFORD

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

Dr EMILY P STANFORD is a female medical professional, specializing in Internal Medicine. She graduated in 2008 from Umdnj New Jersey School Of Osteo Medicine.

Contact

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC

201 CHESTNUT HILL RD
STAFFORD SPRINGS
CT
060764005

Tel: 8606844251

EMILY P STANFORD Information

Npi 1114190964
Pac Id 4587836507
Professional Enrollment Id I20111017000145
Last Name STANFORD
First Name EMILY
Middle Name P
Suffix
Gender F
Credential
Medical School Name UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE
Graduation Year 2008
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Group Practice Pac Id 0941113567
Number Of Group Practice Members 409
Line 1 Street Address 201 CHESTNUT HILL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City STAFFORD SPRINGS
State CT
Zip Code 060764005
Phone Number 8606844251
Hospital Affiliation Ccn 1 070008
Hospital Affiliation Lbn 1 JOHNSON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 070002
Hospital Affiliation Lbn 2 ST FRANCIS HOSPITAL & MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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