Provider Demographics
NPI:1942538244
Name:JOHN J PASTORE MD PA
Entity type:Organization
Organization Name:JOHN J PASTORE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PASTORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-691-2555
Mailing Address - Street 1:800 E ELMER ST
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4725
Mailing Address - Country:US
Mailing Address - Phone:856-691-2555
Mailing Address - Fax:
Practice Address - Street 1:800 E ELMER ST
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4725
Practice Address - Country:US
Practice Address - Phone:856-691-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty