Pasichow, Keith Philip
Pasichow, Keith Philip is an individual health care provider with primary practice located at 1040 Broad St Ste 300 , Shrewsbury NJ 07702-9908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Pasichow, Keith Philip can be contacted via phone (732) 389-0066.Contact Information
Primary practice address
1040 Broad St Ste 300
Shrewsbury NJ 07702-9908
Phone: (732) 389-0066
Fax: (888) 487-1131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 25MA10208200 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD459333 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 25MA10208200 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | MD459333 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD459333 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 25MA10208200 | New Jersey |
Profile Details
| NPI number | 1366754517 |
|---|---|
| LBN Legal business name | Pasichow, Keith Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2010 |
| Last updated | May 3rd, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366754517 | NPPES |
| New York | MEDICAID | 04301277 | |
| New York | MEDICAID | 0682136 | |
| New York | MEDICAID | 1035864390001 |
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