Individual
ANTHONY WILLIAM PACHECO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-8200
Mailing address
21 RIDGEVALE CT, CRANSTON, RI 02921-1444
(401) 260-0606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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