Basic Information
| Provider Information | |||||||||
| NPI: | 1013233949 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PETER E PASCAL MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 W SILVER ST | ||||||||
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| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010853678 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 115 W SILVER ST | ||||||||
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| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010853628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135623444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2010 | ||||||||
| LastUpdateDate: | 12/16/2015 | ||||||||
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| AuthorizedOfficialLastName: | PASCAL | ||||||||
| AuthorizedOfficialFirstName: | PETER | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4135678293 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.