Individual
DR. MOIRA MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
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
1654
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001654
TUFTS #
MA
01
—
1168933
UNITED HEALTHCARE SOLO 2
MA
01
—
1524756
UNITED HEALTHCARE GROUP
MA
01
—
2021485
UNITED HEALTHCARE SOLO
MA
01
—
2537683
AETNA - HMO
MA
01
—
33188
HARVARD PILGRIM #
MA
01
—
4529854
AETNA
MA
05
—
9764542
—
MA
01
—
Y70727
BCBS INDIVIDUAL #
MA
01
—
Y77135
BCBS GROUP #
MA
Enumeration date
08/30/2006
Last updated
07/08/2007
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