Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 12519 | NV |
Y | 207VE0102X | Reproductive Endocrinologist | 46854 | TN |
N | 207VG0400X | Gynecologist | 12519 | NV |
N | 207VG0400X | Gynecologist | 46854 | TN |
NPI | 1235195801 |
---|---|
Provider Name | Dr. Paul George Stumpf |
First Address | Boston, MA 02241-6457 |
Second Address | Summit, NJ 07901-3533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 07/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1001205 | (05) | NJ |
1235195801 | (05) | NV |
223680351 | THE FIRST HEALTH NETWORK (01) | NJ |
294636 | AHCCCS (01) | NV |
3719461-005 | CIGNA HEALTHCARE (01) | NJ |
4820 | EVOLUTIONS (01) | NV |
880330858 | ANTHEM BC/BS (01) | NV |
880330858 | GREAT-WEST HEALTHCARE (01) | NV |
880330858 | MEDIVERSAL, INC. (01) | NV |
880330858 | TEACHERS HEALTH TRUST (01) | NV |
C53326 | (02) | NJ |