Organization
EDWARD MCDERMOTT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MCDERMOTT MD (OWNER)
(860) 442-0930
Entity
Organization
Contact information
Practice address
276 MONTAUK AVE # R, NEW LONDON, CT 06320-4727
(860) 442-0930
(860) 447-8598
Mailing address
276 MONTAUK AVE # R, NEW LONDON, CT 06320-4727
(860) 442-0930
(860) 447-8598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
B84483
CT
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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