National Provider Identifier Database

EDWARD J STANFORD, MD – NPI #1326094715
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

EDWARD J STANFORD, MD
1262 E NORTH ST
MANTECA, CA95336
Phone: 209-823-7646
Fax: 209-824-5374
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for EDWARD J STANFORD

NPI Number 1326094715
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 03/25/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 59064
  • IL License #: 036080278
  • IL Medicaid: 036080278
  • IL Other: 212529 GROUP MEDICARE #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EDWARD J STANFORD, MD

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