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NPI Code Detail

MEDICARE: DR. JOSEPH P MCDERMOTT MD

MEDICARE:  DR. JOSEPH P MCDERMOTT  MD
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
1208600000XSurgery Physician0101058488VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437133683
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH P MCDERMOTT MD
Provider Business Mailing Address
First Line : 1020 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3002
Country : US
Telephone Number : 757-481-2313
Fax Number : 757-481-0569
Provider Business Practice Location Address
First Line : 1020 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3002
Country : US
Telephone Number : 757-481-2313
Fax Number : 757-481-0569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 02/01/2017

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Directions to “ DR. JOSEPH P MCDERMOTT MD” Practice Location

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