SearchMaryland101YA0400X

Michael Peck, CSC-AD

NPI 1861823353 · on the registry since 2013 · sole proprietor

Practice

Address
122 1st St
Chestertown, MD 21620
Phone
(410) 778-5044
Fax
(410) 778-7052

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland