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Contact Information

SANDRA G PECK, EDM RD
481 GREAT ROAD
SUITE 10
ACTON, MA01720
 Phone: 978-266-1576
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SANDRA G PECK · (Female)

NPI # 1720181118
Status Active
Credentials EDM RD
Entity Individual
Enumeration date 09/07/2006
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 60
  • MA Other LD0016 BLUE CROSS BLUE SHIELD
  • MA Other 39477 HARVARD PILGRIM
  • MA Other 467468 TUFTS
Hospital affiliation(s) Not Available
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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