institution
Mark D. Deponte, M.d.,llc
Family Medicine Physician in Lisbon, Connecticut
NPI 1548591597

Mark D. Deponte, M.d.,llc is a Family Medicine Physician based in Lisbon, CT. Mark D. Deponte, M.d.,llc practices in Lisbon, CT. The NPI Number for Mark D. Deponte, M.d.,llc is 1548591597 and holds a License No. 39445 (Connecticut).

The current practice location address for Mark D. Deponte, M.d.,llc is 2 Lee Rd, Lisbon, CT and can be reached out via phone at 860-376-4451 and via fax at 860-376-5977.

Location: 2 Lee Rd, Lisbon, CT, 06351-3015
institution
Provider Profile Details
NPI Number
1548591597
Provider Name
Mark D. Deponte, M.d.,llc
Credential
Provider Entity Type
Organization
Address
2 Lee Rd, Lisbon, CT, 06351-3015
Phone Number
860-376-4451
Fax Number
860-376-5977
Provider Enumeration Date
01/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
780555 01 CT CONNECTICARE
2V1508 01 CT HEALTHNET
001399452 05 CT
010039945CT01 01 CT BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2 Lee Rd
City
State
Zip
06351-3015
Phone Number
860-376-4451
Fax Number
860-376-5977
person
Provider Business Mailing Address Details
Address
2 Lee Rd
City
State
Zip
06351-3015
Phone Number
860-376-4451
Fax Number
860-376-5977
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
39445 (Connecticut)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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