Individual
DR. BRIAN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1389 W MAIN ST, SUITE 120, WATERBURY, CT 06708-3104
(203) 755-5555
(203) 573-8523
Mailing address
1389 W MAIN ST, SUITE 120, WATERBURY, CT 06708-3104
(203) 755-5555
(203) 573-8523
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
016893
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004085636
—
CT
Enumeration date
05/03/2006
Last updated
12/15/2020
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