Mcdermott, Dermot M

Mcdermott, Dermot M is an individual health care provider with primary practice located at 874 Howard Ave , New Haven CT 06519-1106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mcdermott, Dermot M can be contacted via phone (203) 688-8200.

Contact Information

Primary practice address
874 Howard Ave New Haven CT 06519-1106
Phone: (203) 688-8200
Fax: (203) 688-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000997 Connecticut

Profile Details

NPI number 1457352437
LBN Legal business name Mcdermott, Dermot M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jan 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457352437 NPPES
Connecticut Other 000997 CONNECTICARE
Connecticut Other 290000997CT01 CONNECTICARE
Connecticut Other P2531898 CONNECTICARE
Connecticut Other 0Q2937 CONNECTICARE
Connecticut Other 061561581 CONNECTICARE
Connecticut Other 970019423 CONNECTICARE
Connecticut Other 369530 CONNECTICARE

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