MEDICARE: SEAN MCDERMOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD470185	PA
2	207L00000X	Anesthesiology Physician	MD470185	PA

General Provider Information

NPI Number	:	1033572276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN MCDERMOTT

Provider Business Mailing Address
First Line	:	200 DELAFIELD RD STE 2070
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD STE 2070
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3214
Country	:	US
Telephone Number	:	412-784-5119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	07/02/2022

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Directions to “ SEAN MCDERMOTT ” Practice Location

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