Mcdermott, Marc S

Mcdermott, Marc S is an individual health care provider with primary practice located at 77 Hospital Avenue, Suite 302 Ambulatory Care Center, North Adams MA 01247-2538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mcdermott, Marc S can be contacted via phone (413) 663-8365.

Contact Information

Primary practice address
77 Hospital Avenue, Suite 302 Ambulatory Care Center North Adams MA 01247-2538
Phone: (413) 663-8365
Fax: (413) 662-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5223923-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 5223923-1205 Utah

Profile Details

NPI number 1164452637
LBN Legal business name Mcdermott, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 9th, 2011 - about 13 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 1164452637 NPPES
Montana MEDICAID 0142817
Montana MEDICAID 100503184
Montana MEDICAID 121348200
Montana MEDICAID D5339
Montana MEDICAID 806860000

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