Peck, Richard E
Peck, Richard E is an individual health care provider with primary practice located at 776 Northfield Ave , West Orange NJ 07052-1102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Peck, Richard E can be contacted via phone (973) 324-2300.Contact Information
Primary practice address
776 Northfield Ave
West Orange NJ 07052-1102
Phone: (973) 324-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 25MA06324700 | New Jersey |
Profile Details
| NPI number | 1417943945 |
|---|---|
| LBN Legal business name | Peck, Richard E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Oct 2nd, 2008 - about 16 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 | 1417943945 | NPPES |
| New Jersey | MEDICAID | 8520003 |
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