Individual
DR. ROGER C PASINSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 OCEAN AVENUE RHC, REVERE HEALTHCARE CENTER, REVERE, MA 02151-3675
(781) 485-6350
(617) 485-6200
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52918
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
52918
MA
208000000X
Pediatrics Physician
Primary
52918
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052918
TUFTS HEALTH PLAN
MA
05
—
6184502
—
MA
01
—
J04102
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
09/11/2025
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