Individual
DR. MARK PENNINGTON
Active
Individual
DR. MARK PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
043011
CT
207NS0135X
Procedural Dermatology Physician
Primary
043011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010043011CT01
BCBS & BCFP ID
CT
01
—
043011
CONNECTICARE
CT
01
—
1255448155
GHMC GROUP NPI ID
CT
01
—
2V6529
HEALTH NET
CT
01
—
368233
WELLCARE MEDICARE
CT
01
—
3961986
AETNA
CT
01
—
5713161
CIGNA
CT
01
—
P00311000
RAIL ROAD MEDICARE ID
CT
01
—
P3616072
OXFORD
CT
Enumeration date
08/12/2005
Last updated
09/11/2025
Update your record
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