Pappas, Demetra

Pappas, Demetra is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 10, Children'S Hospital Boston, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Pappas, Demetra can be contacted via phone (617) 355-7025.

Contact Information

Primary practice address
300 Longwood Ave Fegan 10, Children'S Hospital Boston Boston MA 02115-5724
Fax: (617) 730-0252
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A90455 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 233769 Massachusetts

Profile Details

NPI number 1538105788
LBN Legal business name Pappas, Demetra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538105788 NPPES
California MEDICAID GR0053510

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