Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 25MA05759500 | NJ |
NPI | 1487644589 |
---|---|
Provider Name | Dr. Caitlin A Papastamelos |
First Address | Marlton, NJ 08053-4112 |
Second Address | Voorhees, NJ 08043-4310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 04/03/2010 |