Provider Demographics
NPI:1093906687
Name:PAYUMO, GENE L (MD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:L
Last Name:PAYUMO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:63 LACEY RD
Mailing Address - Street 2:STE C
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-2966
Mailing Address - Country:US
Mailing Address - Phone:732-849-9500
Mailing Address - Fax:732-849-9501
Practice Address - Street 1:63 LACEY RD
Practice Address - Street 2:STE C
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-2966
Practice Address - Country:US
Practice Address - Phone:732-849-9500
Practice Address - Fax:732-849-9501
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2016-07-18
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08297000207R00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117406S6SMedicare PIN