Individual
DR. MARK STEVEN PASTERNACK
Active
Individual
DR. MARK STEVEN PASTERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42794
MA
207RI0200X
Infectious Disease Physician
42794
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169226
—
MA
01
—
703788
TUFTS HEALTH PLAN
MA
01
—
E05817
BCBS MA
MA
Enumeration date
04/25/2006
Last updated
10/04/2011
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