Provider Demographics
NPI:1447517842
Name:PAPA, EDWARD J (DO)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:PAPA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:101 NICOLLS ROAD
Mailing Address - Street 2:STONY BROOK ANESTHESIOLOGY PO BOX 1559
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8480
Mailing Address - Country:US
Mailing Address - Phone:631-988-9289
Mailing Address - Fax:631-444-2907
Practice Address - Street 1:101 NICOLLS ROAD
Practice Address - Street 2:STONY BROOK ANESTHESIOLOGY
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8480
Practice Address - Country:US
Practice Address - Phone:631-444-2975
Practice Address - Fax:631-444-2907
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2017-04-13
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Provider Licenses
StateLicense IDTaxonomies
NY273202207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine