Individual provider · Type 1 NPI
Jeffrey Thomas Pacheco, MD
Specialist · Glen Burnie, MD
NPI number
1902804917
Active
Practice location
802 Landmark Dr, Ste 119
Glen Burnie, MD 21061
Fax (410) 760-7864
Mailing address
802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | D00061090 (MD) |
| Otolaryngology Physician | 207Y00000X | D0061090 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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- Ladonna Robinson, PTASpecialist Glen Burnie, MD NPI 1346511573
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- Avron Marcus, MDSpecialist Glen Burnie, MD NPI 1528053956
About NPI 1902804917
Jeffrey Thomas Pacheco, MD's National Provider Identifier is 1902804917, issued on Jul 13, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glen Burnie, MD. The record was last updated on Apr 10, 2026.