| Doctor Name: | DR. MARC S MCDERMOTT |
| NPI Number: | 1164452637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 5223923-1205 |
| Business Practice Address: | 77 Hospital Avenue, Suite 302 Ambulatory Care Center North Adams, MA - 012472538 |
| Business Phone Number: | 4136638365 |
| Business Fax Number: | 4136622363 |
| Mailing Address: | 77 Hospital Avenue, Suite 302, Ambulatory Care Center NORTH ADAMS |
| State: | MA |
| Postal Code: | 012472538 |
| Phone Number: | 4136638365 |
| Fax Number: | 4136622363 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 11/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0204X |
| License Number: | 5223923-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | A pediatrician who has special qualifications to manage emergencies in infants and children. |