Individual
GARY L. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1045, CHEVY CHASE, MD 20815-6917
(301) 652-4828
(301) 652-2070
Mailing address
5454 WISCONSIN AVE, SUITE 1045, CHEVY CHASE, MD 20815-6917
(301) 652-4828
(301) 652-2070
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD25243
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025751800
—
DC
05
—
118281101
—
MD
Enumeration date
05/26/2006
Last updated
08/24/2022
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