Mark Pennington in New Britain - Dermatology
Mark Pennington - NPI 1720080476
Mark Pennington is a Dermatology in New Britain, Connecticut. Mark Pennington practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark Pennington is 1720080476. The last update date is 2007-07-09.
Mark Pennington's current location address is 300 Kensington Ave, New Britain, Connecticut. You can contact this provider via phone number 8603484242 and fax number 8603484646. The mailing address for Mark Pennington is 300 Kensington Ave, New Britain, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Pennington |
|---|---|
| Address | 300 Kensington Ave, New Britain, Connecticut |
| Phone Number | 8603484242 |
| Fax Number | 8603484646 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720080476 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 300 Kensington Ave |
|---|---|
| City | New Britain |
| State | Connecticut (CT) |
| Post Code | 60513916 |
| Phone Number | 8603484242 |
| Fax Number | 8603484646 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 43011 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00311000 | CT | RAIL ROAD MEDICARE ID | |
| 1255448155 | CT | GHMC GROUP NPI ID | |
| 5713161 | CT | CIGNA | |
| 43011 | CT | CONNECTICARE | |
| 3961986 | CT | AETNA | |
| 368233 | CT | WELLCARE MEDICARE | |
| 010043011CT01 | CT | BCBS & BCFP ID | |
| 2V6529 | CT | HEALTH NET | |
| P3616072 | CT | OXFORD |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Pennington by the Centers for Medicare & Medicaid Services?
The Mark Pennington has been issued the NPI (National Provider Identifier) 1720080476. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Pennington's physical address?
The Mark Pennington is physically located at 300 Kensington Ave, in the city of New Britain, CT, with the postal code 60513916.
What is Mark Pennington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Pennington is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
When did the Mark Pennington receive its 1720080476?
The Mark Pennington was issued its 1720080476 on 2005-08-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark Pennington most recently updated or revised?
The information pertaining to Mark Pennington, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.