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Contact Information

SUSAN D PECK, DO
300 FREDERICK ST
HANOVER, PA17331-3709
 Phone: 717-316-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SUSAN D PECK · (Female)

NPI Number 1588643233
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/11/2006
Last updated 03/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS004392L
  • PA Medicaid 097088207
  • PA Other 01808201 CAPITAL BC / KEYSTONE
  • PA Other 1519553 GATEWAY
  • PA Other PE427802 PA BLUE SHIELD
Hospital affiliation(s)
  • HANOVER HOSPITAL - (Acute Care)
    300 HIGHLAND AVE
    HANOVER, PA 17331
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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