Individual
MARYLOU MACDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, THE CHILDREN'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19104
(215) 590-6539
Mailing address
37 COOPER ST, HADDON TOWNSHIP, NJ 08108-2351
(856) 240-1854
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP002261N
PA
Other
Enumeration date
10/09/2009
Last updated
02/23/2011
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