Provider Demographics
NPI:1568491454
Name:PASKAL, STEVEN W (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:PASKAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26 CITY HALL MALL
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4754
Mailing Address - Country:US
Mailing Address - Phone:781-306-5100
Mailing Address - Fax:781-306-5083
Practice Address - Street 1:26 CITY HALL MALL
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4754
Practice Address - Country:US
Practice Address - Phone:781-306-5100
Practice Address - Fax:781-306-5083
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2020-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA49583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3067823Medicaid
MA730126OtherTUFTS
MAJ03769OtherBLUE CROSS
MA0014931OtherNEIGHBORHOOD HEALTH
MAM332OtherHARVARD PILGRIM
MA3067823Medicaid
MA0014931OtherNEIGHBORHOOD HEALTH