Individual
MR. LUIS PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 WASHINGTON ST, SUITE 401, WOBURN, MA 01801-1046
(781) 937-9777
Mailing address
731 TRUMAN HWY, HYDE PARK, MA 02136-3517
(781) 937-9777
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161216796
—
MA
Enumeration date
11/05/2008
Last updated
11/05/2008
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