Susan D Peck is a Addiction Medicine in Hanover, Pennsylvania. Susan D Peck practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Susan D Peck is 1588643233. The last update date is 2023-03-08.
Susan D Peck's current location address is 300 Frederick St, Hanover, Pennsylvania. You can contact this provider via phone number 7173162255. The mailing address for Susan D Peck is 300 Frederick St, Hanover, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan D Peck |
|---|---|
| Address | 300 Frederick St, Hanover, Pennsylvania |
| Phone Number | 7173162255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1588643233 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2023-03-08 |
Provider Mailing Address Detail
| Address | 300 Frederick St |
|---|---|
| City | Hanover |
| State | Pennsylvania (PA) |
| Post Code | 173313709 |
| Phone Number | 7173162255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | OS004392L |
|
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1808201 | PA | CAPITAL BC / KEYSTONE | |
| 1519553 | PA | GATEWAY | |
| PE427802 | PA | PA BLUE SHIELD | |
| 97088207 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan D Peck by the Centers for Medicare & Medicaid Services?
The Susan D Peck has been issued the NPI (National Provider Identifier) 1588643233 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan D Peck located?
The Susan D Peck is located at 300 Frederick St, Hanover, PA 173313709.
What is the Susan D Peck's area of specialization and corresponding taxonomy classification?
The Susan D Peck's specialty field is Addiction Medicine, and it falls under the taxonomy code 2083A0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1588643233 to Susan D Peck?
The Susan D Peck received its 1588643233 assignment from the Centers for Medicare & Medicaid Services on 2006-01-11.
As of what date was the information pertaining to Susan D Peck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan D Peck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-08.