Active NPIIndividual providerSole proprietor

Dr. Cormac D Depan, MD

Otolaryngology, Otolaryngology/Facial Plastic Surgery in Worcester, Massachusetts

NPI Number1588823421
Practice location
123 Summer St, Worcester, MA 01608-1216
Fax
—
Last updated
July 6, 2011

Cormac Dermitt Depan is an Otolaryngology, Otolaryngology/Facial Plastic Surgery based in Worcester, MA. Cormac Dermitt Depan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Cormac Dermitt Depan is 1588823421 and holds a License No. 246127 (MA). The current practice location address for Cormac Dermitt Depan is 123 Summer St, Worcester, MA 01608-1216 and can be reached out via phone at 508-368-3103.

Provider Profile Details

NPI Number
1588823421
Provider Name
Cormac Dermitt Depan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St, Worcester, MA 01608-1216
Phone Number
508-368-3103
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2008
Last Update Date
July 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-368-3103
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St
Worcester, MA 01608-1216
City
Worcester
State
MA
Zip
01608-1216
Phone Number
508-368-3103

License Information

License Number (1)
246127
License State (1)
MA
Taxonomy (1)
Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Cormac D Depan, MD?

The NPI number of Dr. Cormac D Depan, MD is 1588823421. It was assigned on June 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Cormac D Depan, MD?

Dr. Cormac D Depan, MD is registered under the primary taxonomy Otolaryngology, Otolaryngology/Facial Plastic Surgery (code 207YX0905X), licensed in MA under license number 246127.

Where does Dr. Cormac D Depan, MD practice?

The practice location is 123 Summer St, Worcester, MA 01608-1216. The office can be reached at 508-368-3103 (phone).

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 1588823421 directly on the NPPES registry website.

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