Active NPIIndividual providerSole proprietor

Mrs. Sandra G Peck, EDM RD

Dietitian, Registered in Acton, Massachusetts

NPI Number1720181118
Practice location
481 Great Road, Suite 10, Acton, MA 01720
Fax
—
Last updated
November 8, 2012

Sandra Graham Peck is a Dietitian, Registered based in Acton, MA. Sandra Graham Peck practices in Acton, MA and has the professional credentials of EDM RD. The NPI Number for Sandra Graham Peck is 1720181118 and holds a License No. 60 (MA). The current practice location address for Sandra Graham Peck is 481 Great Road, Suite 10, Acton, MA 01720 and can be reached out via phone at 978-266-1576.

Provider Profile Details

NPI Number
1720181118
Provider Name
Sandra Graham Peck
Credential
EDM RD
Provider Entity Type
Individual
Gender
Female
Address
481 Great Road, Suite 10, Acton, MA 01720
Phone Number
978-266-1576
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2006
Last Update Date
November 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 Great Road
Suite 10
Acton, MA 01720
City
Acton
Zip
01720
Phone Number
978-266-1576
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
481 Great Road
Suite 10
Acton, MA 01720
City
Acton
State
MA
Zip
01720
Phone Number
978-266-1576

License Information

License Number
60
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sandra G Peck, EDM RD?

The NPI number of Mrs. Sandra G Peck, EDM RD is 1720181118. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sandra G Peck, EDM RD?

Mrs. Sandra G Peck, EDM RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 60.

Where does Mrs. Sandra G Peck, EDM RD practice?

The practice location is 481 Great Road, Suite 10, Acton, MA 01720. The office can be reached at 978-266-1576 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720181118 directly on the NPPES registry website.

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