Peck, Marc Robert
Peck, Marc Robert is an individual health care provider with primary practice located at 1810 Shore Rd , Northfield NJ 08225-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Peck, Marc Robert can be contacted via phone (609) 677-9729.Contact Information
Primary practice address
1810 Shore Rd
Northfield NJ 08225-2220
Phone: (609) 677-9729
Fax: (609) 652-7153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 25MA02504000 | New Jersey |
Profile Details
| NPI number | 1255344297 |
|---|---|
| LBN Legal business name | Peck, Marc Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255344297 | NPPES |
| New Jersey | MEDICAID | 2303108 |
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