Provider Demographics
NPI:1467676395
Name:STRUM, PAMELA C (MSTOM LAC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:C
Last Name:STRUM
Suffix:
Gender:
Credentials:MSTOM LAC
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:C
Other - Last Name:STRUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSTOM LAC
Mailing Address - Street 1:463 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4076
Mailing Address - Country:US
Mailing Address - Phone:201-906-7179
Mailing Address - Fax:
Practice Address - Street 1:463 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4076
Practice Address - Country:US
Practice Address - Phone:609-759-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ0037500171100000X
NJ171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist