Pasternack, Paul Larry

Pasternack, Paul Larry is an individual health care provider with primary practice located at 1 Britton Place Suite 11, Voorhees NJ 08043. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Pasternack, Paul Larry can be contacted via phone (856) 770-0033.

Contact Information

Primary practice address
1 Britton Place Suite 11 Voorhees NJ 08043
Fax: (856) 770-0608
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22DI00954800 New Jersey

Profile Details

NPI number 1467502724
LBN Legal business name Pasternack, Paul Larry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - 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 1467502724 NPPES
New Jersey MEDICAID 3021904

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