Pacheco, Manuel N

Pacheco, Manuel N is an individual health care provider with primary practice located at 800 Washington St Tufts Medical Center Box 1007, Boston MA 02111-1552. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychosomatic Medicine is his primary health care specialty. Pacheco, Manuel N can be contacted via phone (617) 872-6522.

Contact Information

Primary practice address
800 Washington St Tufts Medical Center Box 1007 Boston MA 02111-1552
Phone: (617) 872-6522
Fax: (617) 876-9998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 216680 Massachusetts
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 216680 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 216680 Massachusetts

Profile Details

NPI number 1982695284
LBN Legal business name Pacheco, Manuel N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982695284 NPPES
Massachusetts MEDICAID 2106655

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