Mark D. Deponte, M.d.,llc

NPI #1548591597 in Lisbon, Connecticut

Provider Information

NPI Number: 1548591597
Entity Type: Organization
Organization Name: Mark D. Deponte, M.d.,llc
Primary Specialty: Family Medicine
Enumeration Date: Jan 14, 2010
Last Updated: Jan 14, 2010

Practice Location

Address: 2 LEE RD
City: Lisbon
State: Connecticut
ZIP Code: 06351-3015
Phone: (860) 376-4451

Authorized Official

Name: DR. MARK D DEPONTE, M.D.
Title: OWNER
Phone: (860) 376-4451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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