Sandra Graham Peck in Acton - Dietitian, Registered

Sandra Graham Peck - NPI 1720181118

Sandra Graham Peck is a Dietitian, Registered in Acton, Massachusetts. Sandra Graham Peck practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Sandra Graham Peck is 1720181118. The last update date is 2012-11-08.

Sandra Graham Peck's current location address is 481 Great Road, Acton, Massachusetts. You can contact this provider via phone number 9782661576. The mailing address for Sandra Graham Peck is 481 Great Road, Acton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Graham Peck
Address 481 Great Road, Acton, Massachusetts
Phone Number 9782661576
Fax Number
Sole Proprietor Y
Credentials EDM RD

NPI Number Detail

NPI Number 1720181118
Provider Enumeration Date 2006-09-07
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address 481 Great Road
City Acton
State Massachusetts (MA)
Post Code 1720
Phone Number 9782661576
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 60
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39477 MA HARVARD PILGRIM
467468 MA TUFTS
LD0016 MA BLUE CROSS BLUE SHIELD

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FAQs about Sandra Graham Peck

What is the unique 10-digit identification code issued to Sandra Graham Peck by the Centers for Medicare & Medicaid Services?

The Sandra Graham Peck has been assigned the NPI (National Provider Identifier) 1720181118 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Sandra Graham Peck?

The Sandra Graham Peck is situated at 481 Great Road, in the city of Acton, state of MA, with the zip code 1720.

What is the Sandra Graham Peck's specialty and taxonomy code?

The Sandra Graham Peck's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did the Sandra Graham Peck receive the assignment of its 1720181118 from the Centers for Medicare & Medicaid Services?

The Sandra Graham Peck was issued its 1720181118 by the Centers for Medicare & Medicaid Services on 2006-09-07.

As of what date were the details pertaining to Sandra Graham Peck last refreshed?

The information related to the Sandra Graham Peck, including its address, specialty, and other relevant details, was last updated on 2012-11-08.

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