Provider Demographics
NPI:1639201247
Name:PELECHATY, OREST V (CA)
Entity Type:Individual
Prefix:MR
First Name:OREST
Middle Name:V
Last Name:PELECHATY
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TOWER DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1014
Mailing Address - Country:US
Mailing Address - Phone:973-921-0348
Mailing Address - Fax:
Practice Address - Street 1:26 LINDEN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1834
Practice Address - Country:US
Practice Address - Phone:973-921-0348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00001500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist