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Larissa Marie Pastore, MD

Student in an Organized Health Care Education/Training Program in Camden, NJ. Individual provider (NPI-1).

NPI number1033979752
StatusActive
Last updated in NPPESApr 18, 2025

Details

NPI
1033979752
Entity type
Individual (NPI-1)
Name
Larissa Marie Pastore
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Apr 18, 2025
Last updated
Apr 18, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 800-826-6737

Mailing address

9614 Amherst Ave
Margate City, NJ 08402-1006

Phone 609-289-9385

Other practice locations

1611 Nw 12th Ave
Miami, FL 33136

Phone 305-355-1122

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Camden, NJ

All 498 Student in an Organized Health Care Education/Training Program providers in Camden · All 3,617 providers in Camden

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