Coastal Dermatology, P.c.

NPI #1992890362 in Mystic, Connecticut

Provider Information

NPI Number: 1992890362
Entity Type: Organization
Organization Name: Coastal Dermatology, P.c.
Primary Specialty: Dermatology
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 55 WILLOW STREET
City: Mystic
State: Connecticut
ZIP Code: 06355
Phone: (860) 245-0000

Authorized Official

Name: DR. DANIELLA DUKE, M.D.
Title: PRESIDENT
Phone: (860) 245-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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