MEDICARE: DR. ATHANASIOS G. PAPASTAMELOS DO

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	207RI0200X	Infectious Disease Physician	25MB05436700	NJ

General Provider Information

NPI Number	:	1821051277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ATHANASIOS G. PAPASTAMELOS DO

Provider Business Mailing Address
First Line	:	2106 NEW RD STE F1
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1053
Country	:	US
Telephone Number	:	609-926-5451
Fax Number	:	609-926-1372

Provider Business Practice Location Address
First Line	:	2106 NEW RD STE F1
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1053
Country	:	US
Telephone Number	:	609-926-5451
Fax Number	:	609-926-1372

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	01/22/2026

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