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NPI Code Detail

MEDICARE: MARK A VENDITTI MD

MEDICARE: MARK A VENDITTI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician030496CT
2207LP2900XPain Medicine (Anesthesiology) Physician030496CT

General Provider Information

NPI Number : 1225031115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A VENDITTI MD
Provider Business Mailing Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6099
Country : US
Telephone Number : 203-739-7119
Fax Number : 203-739-7815
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6099
Country : US
Telephone Number : 203-739-7119
Fax Number : 203-739-7815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/22/2017

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Directions to “ MARK A VENDITTI MD” Practice Location

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