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NPI Code Detail

MEDICARE: VICTORIA MCDERMOTT NP

MEDICARE: VICTORIA MCDERMOTT NP
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
1363LF0000XFamily Nurse PractitionerRN263173MA

General Provider Information

NPI Number : 1548562028
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MCDERMOTT NP
Provider Business Mailing Address
First Line : 85 HIGH ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-3825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 HIGH ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-3825
Country : US
Telephone Number : 781-396-4770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2010
Last Update Date : 04/13/2015

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Directions to “ VICTORIA MCDERMOTT NP” Practice Location

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