Individual provider · Type 1 NPI

Sonia C. Peck, PHYSICIAN ASSISTANT

Medical Physician Assistant · Providence, RI

NPI number 1639477433 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Call (401) 793-3570 Map

Mailing address

164 Summit Avenue
Providence, RI 02906

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00224 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1639477433

Sonia C. Peck, PHYSICIAN ASSISTANT's National Provider Identifier is 1639477433, issued on Mar 3, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Mar 3, 2011.