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Contact Information

EDWARD J STANFORD, MD
1262 E NORTH ST
MANTECA, CA95336
 Phone: 209-823-7646
 Fax: 209-824-5374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWARD J STANFORD · (Male)

NPI # 1326094715
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 03/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 59064
  • IL License # 036080278
  • IL Medicaid 036080278
  • IL Other 212529 GROUP MEDICARE #
Hospital affiliation(s) Not Available
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.

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