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NPI Code Detail

MEDICARE: PASCAL LONTAR GUMU

MEDICARE:   PASCAL LONTAR GUMU
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1801688676
Entity Type Code : Individual
Provider Name (Legal Business Name) : PASCAL LONTAR GUMU
Provider Business Mailing Address
First Line : 4032 WARNER AVE APT D1
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-1914
Country : US
Telephone Number : 301-851-1988
Fax Number :
Provider Business Practice Location Address
First Line : 4032 WARNER AVE APT D1
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-1914
Country : US
Telephone Number : 301-851-1988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “ PASCAL LONTAR GUMU ” Practice Location

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