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
Phone: (860) 447-1475
Fax: (860) 447-8598
Website:
Authorized official contact:
Name: Mcdermott, Edward J Doctor of Medicine (MD)
Phone: (860) 447-1475
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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