Gary L Peck
DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC


Address: 5530 Wisonsin Ave, Suite 820, Chevy Chase, MD 20815-4401
Phone: 3016528081

Gary L Peck (NPI# 1710933890, PAC ID# 8426187238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1710933890
PAC ID by PECOS 8426187238
Professional Enrollment ID I20100603000199
Full Name Gary L Peck
Organization Legal Name DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC
Address 5530 Wisonsin Ave
Suite 820
Chevy Chase
MD 20815-4401
Phone Number 3016528081
Gender M
Medical School UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year 1962
Primary Specialty DERMATOLOGY
Group Practice PAC ID 1355347402
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5530 Wisonsin Ave, Suite 820, Chevy Chase, MD 20815-4401 3016528081 DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC
5530 Wisonsin Ave, Chevy Chase, MD 20815-4401 3016528081 DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC

Organization Information

Organization Legal Name DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC
Physicians 1

Office Location

Street Address 5530 WISONSIN AVE
SUITE 820
City CHEVY CHASE
State MD
Zip 20815-4401

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Competitor

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City CHEVY CHASE
Zip Code 20815
Specialty DERMATOLOGY
City + Specialty CHEVY CHASE + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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