Provider Demographics
NPI:1972604379
Name:MCDERMOTT, FRANCIS V III (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:V
Last Name:MCDERMOTT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 COUNTY RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2585
Mailing Address - Country:US
Mailing Address - Phone:978-356-5522
Mailing Address - Fax:978-356-0218
Practice Address - Street 1:130 COUNTY RD
Practice Address - Street 2:SUITE F
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2585
Practice Address - Country:US
Practice Address - Phone:978-356-5522
Practice Address - Fax:978-356-0218
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205131207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110001951AMedicaid
MA110001951AMedicaid
MAA31483Medicare ID - Type Unspecified