Edward Mcdermott, Md

LBN: Edward Mcdermott, Md
Edward Mcdermott, Md is an health care organization with primary practice located at 276R Montauk Ave , New London CT 06320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edward Mcdermott, Md can be contacted via phone (860) 447-1475, or through Mcdermott, Edward J via phone (860) 447-1475.

Contact Information

Primary practice address
276R Montauk Ave New London CT 06320
Fax: (860) 447-8598
Website:
Authorized official contact:
Name: Mcdermott, Edward J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20822 Connecticut

Profile Details

NPI number 1629109467
LBN Legal business name Edward Mcdermott, Md
DBA Doing business as
Authorized official Mcdermott, Edward J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Nov 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629109467 NPPES
Connecticut Other 010020822CT03 ANTHEM BLUE CROSS
Connecticut Other DB1041 ANTHEM BLUE CROSS
Connecticut MEDICAID 001208222 ANTHEM BLUE CROSS
Connecticut Other 030963 ANTHEM BLUE CROSS

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