Pasternack, James

Pasternack, James is an individual health care provider with primary practice located at 4 Northwestern Dr , Bloomfield CT 06002-3444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pasternack, James can be contacted via phone (860) 243-2020.

Contact Information

Primary practice address
4 Northwestern Dr Bloomfield CT 06002-3444
Phone: (860) 243-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 031616 Connecticut

Profile Details

NPI number 1104824572
LBN Legal business name Pasternack, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 10th, 2008 - about 18 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104824572 NPPES
Connecticut MEDICAID 001316167
Connecticut Other P00202831

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