Individual
RICHARD E PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
776 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1102
(973) 324-2300
Mailing address
776 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1102
(201) 487-7227
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA06324700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8520003
—
NJ
Enumeration date
09/20/2005
Last updated
10/02/2008
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