Provider Demographics
NPI:1124204425
Name:PAPPAS, ELENA CATHERINE (DO)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:CATHERINE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1006 COMMONS WAY
Mailing Address - Street 2:BUILDING G
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6429
Mailing Address - Country:US
Mailing Address - Phone:732-551-2003
Mailing Address - Fax:732-551-2033
Practice Address - Street 1:1006 COMMONS WAY
Practice Address - Street 2:BUILDING G
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6429
Practice Address - Country:US
Practice Address - Phone:732-551-2003
Practice Address - Fax:732-551-2033
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2013-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08458700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ157694Medicare PIN