Edward J Mcdermott in New London - Internal Medicine

Edward J Mcdermott - NPI 1356324008

Edward J Mcdermott is a Internal Medicine in New London, Connecticut. Edward J Mcdermott practices all healthcare services and medical treatments related to Internal Medicine. 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
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
Provider Enumeration Date 2005-11-28
Last Updated Date 2019-05-06

Provider Mailing Address Detail

Address 342 Montauk Ave
City New London
State Connecticut (CT)
Post Code 63204726
Phone Number 8604603236
Fax Number 8604427270

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 20822
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30963 CT HEALTH NET
1208222 CT --
010020822CT03 CT ANTHEM BLUE CROSS

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FAQs about Edward J Mcdermott

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 Internal Medicine, and it falls under the taxonomy code 207R00000X, 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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