Edward Mcdermott MD
Nurse Practitioner in New London, Connecticut
1518090976- Practice location
- 276 Montauk Ave # R, New London, CT 06320-4727
- Phone
- 860-442-0930
- Fax
- 860-447-8598
- Last updated
- August 22, 2020
Edward Mcdermott MD is a healthcare organization based in New London, CT. Edward Mcdermott MD practices in New London, CT. The NPI Number for Edward Mcdermott MD is 1518090976 and holds a License No. B84483 (CT). The current practice location address for Edward Mcdermott MD is 276 Montauk Ave # R, New London, CT 06320-4727 and can be reached out via phone at 860-442-0930 and via fax at 860-447-8598.
Provider Profile Details
- NPI Number
- 1518090976
- Provider Name
- Edward Mcdermott MD
- Provider Entity Type
- Organization
- Address
- 276 Montauk Ave # R, New London, CT 06320-4727
- Phone Number
- 860-442-0930
- Fax Number
- 860-447-8598
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- No
- Authorized Official
- Edward Mcdermott, MD · Owner · 860-442-0930
- Provider Enumeration Date
- March 14, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 276 Montauk Ave # R
New London, CT 06320-4727 - City
- New London
- State
- Connecticut
- Zip
- 06320-4727
- Phone Number
- 860-442-0930
- Fax Number
- 860-447-8598
Provider Business Mailing Address Details
- Address
- 276 Montauk Ave # R
New London, CT 06320-4727 - City
- New London
- State
- CT
- Zip
- 06320-4727
- Phone Number
- 860-442-0930
- Fax Number
- 860-447-8598
License Information
- License Number
- B84483
- License State
- CT
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward Mcdermott MD?
The NPI number of Edward Mcdermott MD is 1518090976. It was assigned on March 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Edward Mcdermott MD?
Edward Mcdermott MD is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number B84483.
Where does Edward Mcdermott MD practice?
The practice location is 276 Montauk Ave # R, New London, CT 06320-4727. The office can be reached at 860-442-0930 (phone) or 860-447-8598 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518090976 directly on the NPPES registry website.