Healthcare Provider Details

I. General information

NPI: 1255997730
Provider Name (Legal Business Name): CHRISTINE PAPASTAMELOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 NEW RD STE F1
LINWOOD NJ
08221-1053
US

IV. Provider business mailing address

2106 NEW RD STE F1
LINWOOD NJ
08221-1053
US

V. Phone/Fax

Practice location:
  • Phone: 609-926-1372
  • Fax:
Mailing address:
  • Phone: 609-926-5451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number310774
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25MA11626600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: