Organization
G L PAYUMO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE LOUIE PAYUMO M.D. (PRESIDENT)
(732) 826-4177
Entity
Organization
Contact information
Practice address
205 MAY ST STE 103, EDISON, NJ 08837-3267
(732) 661-9075
Mailing address
255 CORBIN CT, LAKEWOOD, NJ 08701-7443
(732) 826-4177
(732) 607-1160
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25MA08297000
NJ
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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