Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID DEPONTE, MD
Active Sole ProprietorFamily Medicine · LISBON, CT
Registration Details
- NPI Number
- 1265434583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (20.927979435551 yrs)
- Last Updated
- Nov 19, 2009
- License
-
039945 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 LEE RDLISBON, CT, 06351Browse CT providers · Browse ZIP 06351
- Phone
- 8603764451
- Fax
- 8603765977
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LISBON, CT
| Name | Credential | NPI |
|---|---|---|
| BERT ANTHONY COPPOTELLI | MD | 1629070941 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.