Provider Demographics
NPI:1528421757
Name:PECHACEK, JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:PECHACEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 ROCKVILLE PIKE, MSC 1899; BUILDING 10, RM 12C1D3
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:28092
Mailing Address - Country:US
Mailing Address - Phone:301-480-0050
Mailing Address - Fax:301-480-0050
Practice Address - Street 1:9000 ROCKVILLE PIKE, MSC 1899; BUILDING 10, RM 12C1D3
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:28092
Practice Address - Country:US
Practice Address - Phone:301-480-0050
Practice Address - Fax:301-480-0050
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program