# JAMES DERMODY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659889756
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0203X | Clinical Molecular Genetics Physician | 25MS00011800 | NJ | — |
| 207SG0203X | Clinical Molecular Genetics Physician | 93066 | NJ | Yes |
| 207SG0205X | Ph.D. Medical Genetics Physician | 25MS00011800 | NJ | — |
| 207SG0205X | Ph.D. Medical Genetics Physician | 93066 | NJ | — |
| 207SM0001X | Molecular Genetic Pathology (Medical Genetics) Physician | 25MS00011800 | NJ | — |
| 207SM0001X | Molecular Genetic Pathology (Medical Genetics) Physician | 93066 | NJ | — |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 01/11/2018