Individual
DR. DAVID WILLIAM MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 RIDGELY AVE, STE 130, ANNAPOLIS, MD 21401-1045
(410) 266-8049
(410) 266-8054
Mailing address
600 RIDGELY AVE STE 222, ANNAPOLIS, MD 21401-1073
(410) 266-8049
(410) 266-8054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D31991
MD
208800000X
Urology Physician
Primary
D31991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557201100
—
MD
Enumeration date
06/14/2005
Last updated
06/12/2020
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