Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORMAC DERMITT DEPAN, MD
Active Sole ProprietorDR. CORMAC DERMITT DEPAN, MD is a Facial Plastic Surgery healthcare provider located in WORCESTER, Massachusetts. NPI 1588823421 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · WORCESTER, MA
Registration Details
- NPI Number
- 1588823421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2008 (18.003461794871 yrs)
- Last Updated
- Jul 6, 2011
- License
-
246127 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 SUMMER STWORCESTER, MA, 016081216Browse MA providers · Browse ZIP 01608
- Phone
- 5083683103
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Student (Health Education/Training)
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.