Individual
MR. WILLIAM B PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 MEDICAL VILLAGE DR, SUITE 2, NEWPORT, VT 05855-9835
(802) 334-4110
(802) 334-4113
Mailing address
81 MEDICAL VILLAGE DR, SUITE 2, NEWPORT, VT 05855-9835
(802) 334-4110
(802) 334-4113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420006021
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005263
BLUE SHIELD OF VERMONT
VT
05
—
0005263
—
VT
01
—
0572880001
DME
VT
01
—
15842
MVP
VT
01
—
8000226
LADIES FIRST
VT
05
—
99005263
—
NH
Enumeration date
11/02/2006
Last updated
07/09/2007
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