Individual
DR. JEFFREY THOMAS PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 LANDMARK DR, STE 119, GLEN BURNIE, MD 21061
(410) 760-8840
(410) 760-7864
Mailing address
802 LANDMARK DR STE 119, GLEN BURNIE, MD 21061-9121
(410) 760-8840
(410) 760-7864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D00061090
MD
207Y00000X
Otolaryngology Physician
D0061090
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001232700
—
MD
Enumeration date
07/13/2005
Last updated
04/10/2026
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