Healthcare Provider Details

I. General information

NPI: 1013042431
Provider Name (Legal Business Name): MICHELLE ELAINE PAPA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 STANTON CHRISTIANA RD STE 305
NEWARK DE
19713-2135
US

IV. Provider business mailing address

620 STANTON CHRISTIANA RD STE 305
NEWARK DE
19713-2135
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-8830
  • Fax: 302-633-1375
Mailing address:
  • Phone: 302-999-8830
  • Fax: 302-633-1375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC7-0002935
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: