Individual
DR. JEROME PUMO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.,FACOFP
Contact information
Practice address
132 WESTFIELD AVE, UNIT 1, CLARK, NJ 07066-2453
(732) 574-1777
(732) 574-2707
Mailing address
144 KLINE BLVD, COLONIA, NJ 07067-1925
(732) 574-1777
(732) 574-2707
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB02746100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2237789
AETNA
NJ
01
—
UP094
OXFORD
NJ
Enumeration date
08/11/2005
Last updated
08/26/2014
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