| Doctor Name: | PROF. JANICE P PASTUSZAK |
| NPI Number: | 1043324403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 98655 |
| Business Practice Address: | 421 N. Main Street Leeds, MA - 01053 |
| Business Phone Number: | 4135844040 |
| Business Fax Number: | |
| Mailing Address: | 1120 Parker Street, SPRINGFIELD |
| State: | MA |
| Postal Code: | 011291004 |
| Phone Number: | 4137822990 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 98655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |