Dermot M Mcdermott in New Haven - Medical

Dermot M Mcdermott - NPI 1457352437

Dermot M Mcdermott is a Medical in New Haven, Connecticut. Dermot M Mcdermott practices all healthcare services and medical treatments related to Medical. The NPI Number for Dermot M Mcdermott is 1457352437. The last update date is 2009-01-09.

Dermot M Mcdermott's current location address is 874 Howard Ave, New Haven, Connecticut. You can contact this provider via phone number 2036888200 and fax number 2036888204. The mailing address for Dermot M Mcdermott is 874 Howard Ave, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Dermot M Mcdermott
Address 874 Howard Ave, New Haven, Connecticut
Phone Number 2036888200
Fax Number 2036888204
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1457352437
Provider Enumeration Date 2005-08-02
Last Updated Date 2009-01-09

Provider Mailing Address Detail

Address 874 Howard Ave
City New Haven
State Connecticut (CT)
Post Code 65191106
Phone Number 2036888200
Fax Number 2036888204

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 997
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
997 CT CONNECTICARE
290000997CT01 CT ANTHEM BC/BS
P2531898 CT OXFORD
0Q2937 CT HELATH NET
61561581 CT UNITED HEALTHCARE
970019423 CT RAIL ROAD MEDICARE
369530 CT WELLCARE OF CT

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FAQs about Dermot M Mcdermott

What is the unique identifier code issued to Dermot M Mcdermott by the Centers for Medicare & Medicaid Services (CMS)?

The Dermot M Mcdermott has been assigned the NPI (National Provider Identifier) 1457352437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Dermot M Mcdermott's physical address?

The Dermot M Mcdermott is physically located at 874 Howard Ave, in the city of New Haven, CT, with the postal code 65191106.

What is Dermot M Mcdermott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dermot M Mcdermott is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.

On what date did the Dermot M Mcdermott receive the assignment of its 1457352437 from the Centers for Medicare & Medicaid Services?

The Dermot M Mcdermott was issued its 1457352437 by the Centers for Medicare & Medicaid Services on 2005-08-02.

As of what date were the details related to Dermot M Mcdermott most recently updated or revised?

The information pertaining to Dermot M Mcdermott, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-09.

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