Provider Demographics
NPI:1568409159
Name:PAPARONE, PHILIP WILLIAM (DO)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:WILLIAM
Last Name:PAPARONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:72 W JIMMIE LEEDS RD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9406
Mailing Address - Country:US
Mailing Address - Phone:609-652-2240
Mailing Address - Fax:609-748-1029
Practice Address - Street 1:72 W JIMMIE LEEDS RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9406
Practice Address - Country:US
Practice Address - Phone:609-652-2240
Practice Address - Fax:609-748-1029
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MBO2413200204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC52408Medicare UPIN