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Organization

MOIRA L MCDERMOTT LOWER CAPE PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHEILA DUFFY (OFFICE MANAGER)
(508) 255-1100
Entity
Organization

Contact information

Practice address
4 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 255-1100
Mailing address
4 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 255-1100

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
729636
TUFTS GROUP#
MA
01
H670
HARVARD GROUP #
MA
01
H679
HARVARD PILGRIM
MA
01
Y77135
BC GROUP#
MA
Enumeration date
06/05/2007
Last updated
04/16/2009
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