Individual
GREGORY LANCE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7766
Mailing address
89 FRENCH ST, NEW BRUNSWICK, NJ 08901-1935
(732) 235-7766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB09276300
NJ
208600000X
Surgery Physician
OT011718
PA
2086S0102X
Surgical Critical Care Physician
25MB09276300
NJ
2086S0127X
Trauma Surgery Physician
66049
GA
Other
Enumeration date
12/07/2007
Last updated
04/10/2024
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