Jensy Pulikamalil Stafford, MD

NPI #1922261353 in Providence, Rhode Island

Provider Information

NPI Number: 1922261353
Entity Type: Individual
Name: Jensy Pulikamalil Stafford, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine - Hospice and Palliative Medicine
Credential: MD
Enumeration Date: Jul 7, 2008
Last Updated: Jul 13, 2012

Practice Location

Address: 1085 N MAIN ST
City: Providence
State: Rhode Island
ZIP Code: 02904-5719
Phone: (401) 415-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207QH0002X	Primary

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