MEDICARE: DR. JEFFREY PAUL CRANFORD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	FC4748945	NY
2	207Y00000X	Otolaryngology Physician	MD.36891	AL
3	207Y00000X	Otolaryngology Physician	62391	CT

General Provider Information

NPI Number	:	1942543111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY PAUL CRANFORD M.D.

Provider Business Mailing Address
First Line	:	31 BROADWAY FL 2
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-2363
Country	:	US
Telephone Number	:	203-234-1324
Fax Number	:	855-496-0993

Provider Business Practice Location Address
First Line	:	31 BROADWAY FL 2
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-2363
Country	:	US
Telephone Number	:	203-234-1324
Fax Number	:	855-496-0993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2013
Last Update Date	:	02/12/2026

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