Individual
GREGORY B LUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 E MANTUA AVE, WENONAH, NJ 08090-1950
(856) 468-6868
(856) 464-1855
Mailing address
107 E MANTUA AVE, WENONAH, NJ 08090-1950
(856) 468-6868
(856) 464-1855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
229452
NY
207Q00000X
Family Medicine Physician
Primary
25MA07215100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127051
—
NJ
Enumeration date
04/06/2006
Last updated
12/21/2009
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