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NPI Code Detail

MEDICARE: DR. JOHN PACHECO MD

MEDICARE: DR. JOHN PACHECO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD489178PA

General Provider Information

NPI Number : 1467182352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PACHECO MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-784-8303
Fax Number : 570-387-5030
Provider Business Practice Location Address
First Line : 240 MALL BLVD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8306
Country : US
Telephone Number : 570-784-8303
Fax Number : 570-387-5030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 12/01/2025

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Directions to “ DR. JOHN PACHECO MD” Practice Location

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