Edward J Mcdermott in New London - Specialist
Edward J Mcdermott - NPI 1356324008
Edward J Mcdermott is a Specialist in New London, Connecticut. Edward J Mcdermott practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward J Mcdermott is 1356324008. The last update date is 2019-05-06.
Edward J Mcdermott's current location address is 342 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604603236 and fax number 8604427270. The mailing address for Edward J Mcdermott is 342 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward J Mcdermott |
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Address | 342 Montauk Ave, New London, Connecticut |
Phone Number | 8604603236 |
Fax Number | 8604427270 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1356324008 |
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Provider Enumeration Date | 2005-11-28 |
Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
Address | 342 Montauk Ave |
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City | New London |
State | Connecticut (CT) |
Post Code | 63204726 |
Phone Number | 8604603236 |
Fax Number | 8604427270 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 20822 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
30963 | CT | HEALTH NET | |
1208222 | CT | -- | |
010020822CT03 | CT | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward J Mcdermott?
The Edward J Mcdermott has been issued the NPI (National Provider Identifier) 1356324008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Edward J Mcdermott is physically located?
The Edward J Mcdermott is situated at the following address: 342 Montauk Ave, New London, CT 63204726.
What is the Edward J Mcdermott's area of specialization and corresponding taxonomy classification?
The Edward J Mcdermott's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Edward J Mcdermott receive its 1356324008?
The Edward J Mcdermott was issued its 1356324008 on 2005-11-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Edward J Mcdermott most recently updated or revised?
The details related to Edward J Mcdermott, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-06.
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