Edward Mcdermott Md in New London - Nurse Practitioner
Edward Mcdermott Md - NPI 1518090976
Edward Mcdermott Md is a Nurse Practitioner in New London, Connecticut. Edward Mcdermott Md practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Edward Mcdermott Md is 1518090976. The last update date is 2020-08-22.
Edward Mcdermott Md's current location address is 276 Montauk Ave # R, New London, Connecticut. You can contact this provider via phone number 8604420930 and fax number 8604478598. The mailing address for Edward Mcdermott Md is 276 Montauk Ave # R, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward Mcdermott Md |
|---|---|
| Address | 276 Montauk Ave # R, New London, Connecticut |
| Phone Number | 8604420930 |
| Fax Number | 8604478598 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcdermott Edward |
| Credentials | MD |
| Telephone Number | 8604420930 |
NPI Number Detail
| NPI Number | 1518090976 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 276 Montauk Ave # R |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204727 |
| Phone Number | 8604420930 |
| Fax Number | 8604478598 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | B84483 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code issued to Edward Mcdermott Md by the Centers for Medicare & Medicaid Services?
The Edward Mcdermott Md has been assigned the NPI (National Provider Identifier) 1518090976 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edward Mcdermott Md?
The Edward Mcdermott Md is physically situated at 276 Montauk Ave # R, in the city of New London, state of CT, with the postal code 63204727.
What is the Edward Mcdermott Md's area of specialization and corresponding taxonomy classification?
The Edward Mcdermott Md's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518090976 to Edward Mcdermott Md?
The Centers for Medicare & Medicaid Services originally issued the 1518090976 to Edward Mcdermott Md on 2007-03-14.
When was the Edward Mcdermott Md's information last updated?
The Edward Mcdermott Md's information was last updated on 2020-08-22.