Provider Demographics
NPI:1467620500
Name:PAPOLOS, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:PAPOLOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DEMITRI
Other - Middle Name:
Other - Last Name:PAPOLOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:22 CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4542
Mailing Address - Country:US
Mailing Address - Phone:203-226-2216
Mailing Address - Fax:203-341-0496
Practice Address - Street 1:22 CRESCENT RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4542
Practice Address - Country:US
Practice Address - Phone:203-226-2216
Practice Address - Fax:203-341-0496
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0333522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry