Individual
WAYNE EDWARD PASANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 VARNUM AVE, LOWELL GENERAL HOSPITAL, LOWELL, MA 01854-2134
(978) 937-6290
(978) 453-1831
Mailing address
117 OSGOOD ST, NORTH ANDOVER, MA 01845-4014
(978) 681-9393
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003805
—
MA
01
—
B01021
BLUE SHIELD
MA
Enumeration date
06/10/2006
Last updated
05/06/2008
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