Mark D Deponte, MD
Family Medicine in Lisbon, Connecticut
1265434583- Practice location
- 2 Lee RD, Lisbon, CT 06351
- Phone
- 860-376-4451
- Fax
- 860-376-5977
- Last updated
- November 19, 2009
Mark David Deponte is a Family Medicine based in Lisbon, CT. Mark David Deponte practices in Lisbon, CT and has the professional credentials of MD. The NPI Number for Mark David Deponte is 1265434583 and holds a License No. 039945 (CT). The current practice location address for Mark David Deponte is 2 Lee RD, Lisbon, CT 06351 and can be reached out via phone at 860-376-4451 and via fax at 860-376-5977.
Provider Profile Details
- NPI Number
- 1265434583
- Provider Name
- Mark David Deponte
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Lee RD, Lisbon, CT 06351
- Phone Number
- 860-376-4451
- Fax Number
- 860-376-5977
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 1, 2005
- Last Update Date
- November 19, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Lee RD
Lisbon, CT 06351 - City
- Lisbon
- State
- Connecticut
- Zip
- 06351
- Phone Number
- 860-376-4451
- Fax Number
- 860-376-5977
Provider Business Mailing Address Details
- Address
- 2 Lee RD
Lisbon, CT 06351 - City
- Lisbon
- State
- CT
- Zip
- 06351
- Phone Number
- 860-376-4451
- Fax Number
- 860-376-5977
License Information
- License Number
- 039945
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Lisbon, CT
View all Family Medicine providers in Lisbon →- Bert A Coppotelli, MDFamily Medicine · NPI 1629070941
- Bert Coppotelli MD LLCFamily Medicine · NPI 1699969469
- Mark D. Deponte, M.d.,llcFamily Medicine · NPI 1548591597
- Laura E Steiner, PAPhysician Assistant · NPI 1649280587
- The Lisbon Fire Department IncorporatedAmbulance · NPI 1689664153
- Michael J RoseEmergency Medical Technician, Intermediate · NPI 1366361651
Frequently Asked Questions
What is the NPI number of Mark D Deponte, MD?
The NPI number of Mark D Deponte, MD is 1265434583. It was assigned on June 1, 2005 and is currently active in the NPPES registry.
What is the specialty of Mark D Deponte, MD?
Mark D Deponte, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 039945.
Where does Mark D Deponte, MD practice?
The practice location is 2 Lee RD, Lisbon, CT 06351. The office can be reached at 860-376-4451 (phone) or 860-376-5977 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265434583 directly on the NPPES registry website.