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NPI Code Detail

MEDICARE: ABIGAIL LINDA PUMM PA-C

MEDICARE: ABIGAIL LINDA PUMM PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1306573043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL LINDA PUMM PA-C
Provider Business Mailing Address
First Line : 123 METRO BLVD
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-6101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 METRO BLVD
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-6101
Country : US
Telephone Number : 973-761-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 08/03/2022

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Directions to “ ABIGAIL LINDA PUMM PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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