Individual
MR. FRED BURT PASTERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
38680 JOHNNYCAKE RIDGE RD, WILLOUGHBY, OH 44094-7831
(440) 942-4367
Mailing address
1961 ALDERSGATE DR, LYNDHURST, OH 44124-3859
(440) 821-7630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN220356
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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