Individual
DR. MARK STEVEN PASTERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 612, BOSTON, MA 02114-3117
(617) 726-5771
(617) 726-5411
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
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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