Active NPIIndividual provider

Dr. Mark Pennington, MD

Dermatology, Procedural Dermatology in New Britain, Connecticut

NPI Number1720080476
Practice location
1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396
Fax
860-348-4646
Last updated
September 11, 2025

Mark Pennington is a Dermatology, Procedural Dermatology based in New Britain, CT. Mark Pennington practices in New Britain, CT and has the professional credentials of MD. The NPI Number for Mark Pennington is 1720080476 and holds a License No. 043011 (CT). The current practice location address for Mark Pennington is 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396 and can be reached out via phone at 860-348-4242 and via fax at 860-348-4646.

Provider Profile Details

NPI Number
1720080476
Provider Name
Mark Pennington
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396
Phone Number
860-348-4242
Fax Number
860-348-4646
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2005
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Lake St
Grove Hill Medical Center
New Britain, CT 06052-1396
Zip
06052-1396
Phone Number
860-348-4242
Fax Number
860-348-4646
New Britain, CT 06052Get directions →

Provider Business Mailing Address Details

Address
300 Kensington Ave
Grove Hill Medical Center
New Britain, CT 06051-3916
City
New Britain
State
CT
Zip
06051-3916
Phone Number
860-348-4242
Fax Number
860-348-4646

License Information

License Number (1)
043011
License State (1)
CT
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
043011
License State (2)
CT
Taxonomy (2)
Dermatology, Procedural Dermatology · 207NS0135X · 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. Mark Pennington, MD?

The NPI number of Dr. Mark Pennington, MD is 1720080476. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Pennington, MD?

Dr. Mark Pennington, MD is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in CT under license number 043011.

Where does Dr. Mark Pennington, MD practice?

The practice location is 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396. The office can be reached at 860-348-4242 (phone) or 860-348-4646 (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 1720080476 directly on the NPPES registry website.

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