Peck, Gary L.

Peck, Gary L. is an individual health care provider with primary practice located at 5454 Wisconsin Ave Suite 1045, Chevy Chase MD 20815-6917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Peck, Gary L. can be contacted via phone (301) 652-4828.

Contact Information

Primary practice address
5454 Wisconsin Ave Suite 1045 Chevy Chase MD 20815-6917
Phone: (301) 652-4828
Fax: (301) 652-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD25243 District of Columbia

Profile Details

NPI number 1710933890
LBN Legal business name Peck, Gary L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Aug 24th, 2022 - about 2 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 1710933890 NPPES
Maryland MEDICAID 118281101
Maryland MEDICAID 025751800

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