Individual
DR. ROLAND KUM NGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
201 LYONS AVE DEPT OF, NEWARK, NJ 07112-2027
(973) 985-8261
Mailing address
4825 MACCORKLE AVE SW STE 1, CHARLESTON, WV 25309-1365
(304) 400-4635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11488900
NJ
207RN0300X
Nephrology Physician
Primary
33579
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2018
Last updated
08/27/2024
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