Individual
JULIE MICHELE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBCHB
Contact information
Practice address
45 SALEM TPKE, NORWICH, CT 06360-6533
(860) 204-9126
Mailing address
45 SALEM TPKE, NORWICH, CT 06360-6533
(860) 204-9126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79007
CT
Other
Enumeration date
04/03/2018
Last updated
10/15/2024
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