MARK DAVID DEPONTE

LISBON, CT
NPI1265434583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  039945)
Enumeration Date2005-06-01
Last Update Date2009-11-19
Business Address
-- MARK DAVID DEPONTE MD
2 LEE RD
LISBON, CT 06351
Phone number: 860-376-4451
Mailing Address
-- MARK DAVID DEPONTE MD
2 LEE RD
LISBON, CT 06351
Phone number: 860-376-4451
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