Provider Demographics
NPI:1427023928
Name:PAPA, CHRISTINE A (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:PAPA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WHITE HORSE RD
Mailing Address - Street 2:SUITE C103
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2461
Mailing Address - Country:US
Mailing Address - Phone:856-627-1900
Mailing Address - Fax:856-627-6907
Practice Address - Street 1:707 WHITE HORSE RD
Practice Address - Street 2:SUITE C103
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2461
Practice Address - Country:US
Practice Address - Phone:856-627-1900
Practice Address - Fax:856-627-6907
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB70671174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
037798ALYMedicare ID - Type Unspecified
NJH04575Medicare UPIN