Individual
SHANNON MARIE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
211 LORRAINE AVE, SPRING LAKE, NJ 07762-1714
(908) 821-5140
Mailing address
211 LORRAINE AVE, SPRING LAKE, NJ 07762-1714
(908) 821-5140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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