Provider Demographics
NPI:1689642787
Name:PAPOWITZ, EUGENE B (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:B
Last Name:PAPOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 POST RD
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1618
Mailing Address - Country:US
Mailing Address - Phone:201-337-3994
Mailing Address - Fax:201-847-8307
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:SUITE D-1
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-337-3994
Practice Address - Fax:201-847-8307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA02422600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ453288Medicare ID - Type Unspecified