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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417943945 NPPES
New Jersey MEDICAID 8520003

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