Individual
DR. MICHAEL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6131 RIDGE AVE, PHILADELPHIA, PA 19128-2625
(215) 482-6668
Mailing address
555 FULWELL CT, AMBLER, PA 19002-1860
(215) 793-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000997
PA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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