Provider Demographics
NPI:1386603066
Name:PFLUM, GERALD EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:EDWARD
Last Name:PFLUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:444 NEPTUNE BLVD
Mailing Address - Street 2:UNIT 12
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4121
Mailing Address - Country:US
Mailing Address - Phone:732-775-1301
Mailing Address - Fax:732-775-0507
Practice Address - Street 1:444 NEPTUNE BLVD
Practice Address - Street 2:UNIT 12
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4121
Practice Address - Country:US
Practice Address - Phone:732-775-1301
Practice Address - Fax:732-775-0507
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA032941207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0049667OtherAETNA
NJ2003902Medicaid
NJ222160765077530000OtherTRI CARE
NJ0094161OtherGHI
NJ7802221607650OtherHORIZON BS
NJF02133OtherHEALTH NET OF THE NORTHEA
NJ0441233000OtherAMERIHEALTH
NJ2221607650003OtherCIGNA
NJ32249OtherEMPIRE BS
NJ222160765OtherUNITED HEALTHCARE
NJ222160765001OtherQUALCARE
NJMS249OtherOXFORD
NJ7802221607650OtherHORIZON BS
NJ32249OtherEMPIRE BS