Most Relevant Information
Provider Data
| NPI Number: | 1003663055 |
| Provider Name: | PAUL CHARLES KUMPF D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2024 |
| Last Updated: | 05/06/2024 |
Provider Practice Location
1945 NJ-33
NEPTUNE TOWNSHIP
NJ
07753
Practice Location Phone/Fax
| Phone: | 8483322659 |
| Fax: |
Provider Mailing Location
1516 CHALET DR
CHERRY HILL
NJ
080033018
Provider Mailing Phone/Fax
| Phone: | 8564485487 |
| Fax: |