Individual
MICHAELA PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
89 PURITAN RD, SOMERVILLE, MA 02145-1013
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2344762
MA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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