Individual
COURTNEY PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 GUEST ST STE 200, BRIGHTON, MA 02135-2040
(617) 475-0496
(213) 265-9954
Mailing address
20 GUEST ST STE 200, BRIGHTON, MA 02135-2040
(617) 475-0496
(213) 265-9954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1126
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161947A
—
MA
Enumeration date
06/15/2006
Last updated
12/23/2025
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