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Dr. Cormac Dermitt Depan, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1588823421

Cormac Dermitt Depan is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Cormac Dermitt Depan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Cormac Dermitt Depan is 1588823421 and holds a License No. 246127 (Massachusetts).

The current practice location address for Cormac Dermitt Depan is 123 Summer St, Worcester, MA and can be reached out via phone at 508-368-3103.

Location: 123 Summer St, Worcester, MA, 01608-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588823421
Provider Name
Cormac Dermitt Depan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St, Worcester, MA, 01608-1216
Phone Number
508-368-3103
Fax Number
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 Summer St
City
Worcester
State
Massachusetts
Zip
01608-1216
Phone Number
508-368-3103
Fax Number
person
Provider Business Mailing Address Details
Address
123 Summer St
City
Worcester
State
Massachusetts
Zip
01608-1216
Phone Number
508-368-3103
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
()
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
246127 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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