Provider Demographics
NPI:1255005088
Name:PARUMA, GERALD
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:
Last Name:PARUMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 MASON WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6816
Mailing Address - Country:US
Mailing Address - Phone:513-225-1039
Mailing Address - Fax:
Practice Address - Street 1:154 MASON WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6816
Practice Address - Country:US
Practice Address - Phone:513-225-1039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)