NPI 1114472727

Carmenlino Payumo, Mdpa

Organisation Preferred Provider Organization Edison, NJ

Practice location

Address: 205 May St STE 103, Edison, NJ 08837-3267
Phone: (732) 661-9075
Mailing address: 121 Meredith Rd, Colonia, NJ 07067-3120

Authorised official

Name: Carmenlino C Payumo
Title: President
Phone: (732) 826-4177

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 25MA02902600 (NJ)

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Registry record

NPI: 1114472727
Entity type: Organization
NPI issued: 24 Aug 2016
Record last updated: 24 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.