Whalio Doctors

NPI 1417943945

Richard E Peck, MD

Practitioner Plastic Surgery Physician West Orange, NJ

Practice location

Address
776 Northfield Ave, West Orange, NJ 07052-1102
Phone
(973) 324-2300

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA06324700 (NJ)

Registry record

NPI
1417943945
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2005
Record last updated
2 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.