Provider Demographics
NPI:1548425085
Name:DRUMMOND, JENIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SHELBURNE RD
Mailing Address - Street 2:STAMFORD HOSPITAL
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3628
Mailing Address - Country:US
Mailing Address - Phone:203-276-7298
Mailing Address - Fax:203-355-4842
Practice Address - Street 1:30 SHELBURNE RD
Practice Address - Street 2:STAMFORD HOSPITAL
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3628
Practice Address - Country:US
Practice Address - Phone:203-276-7298
Practice Address - Fax:203-355-4842
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT048291OtherSTATE LICENSE