NPI 1811324650

G L Payumo MD PA

Organisation Preferred Provider Organization Edison, NJ

Practice location

Address: 205 May St STE 103, Edison, NJ 08837-3267
Phone: (732) 661-9075
Mailing address: 255 Corbin CT, Lakewood, NJ 08701-7443

Authorised official

Name: Gene Louie Payumo
Title: President
Phone: (732) 826-4177

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 25MA08297000 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1811324650
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

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.