Pastore, John O

Pastore, John O is an individual health care provider with primary practice located at 736 Cambridge St Dept Of Cardiology Ccp4C, Brighton MA 02135-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Pastore, John O can be contacted via phone (617) 789-3149.

Contact Information

Primary practice address
736 Cambridge St Dept Of Cardiology Ccp4C Brighton MA 02135-2907
Phone: (617) 789-3149
Fax: (617) 789-5029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35395 Massachusetts

Profile Details

NPI number 1255325874
LBN Legal business name Pastore, John O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 21st, 2011 - about 13 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 1255325874 NPPES
Massachusetts MEDICAID 2016117

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