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1548591597
MARK D. DEPONTE, M.D.,LLC
LISBON, CT
NPI
1548591597
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Entity Type
Organization
Authorized Contact
MARK D DEPONTE
Owner
860-376-4451
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 39445)
Enumeration Date
2010-01-14
Last Update Date
2010-01-14
Business Address
MARK D. DEPONTE, M.D.,LLC
2 LEE RD
LISBON, CT 06351-3015
Phone number: 860-376-4451
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Mailing Address
MARK D. DEPONTE, M.D.,LLC
2 LEE RD
LISBON, CT 06351-3015
Phone number: 860-376-4451
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