NPI 1174594279 · live from the CMS NPI Registry
Daniella Duke, M.D.
Dermatology in Mystic, CT. National Provider Identifier 1174594279, active.
NPI record
| NPI | 1174594279 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 55 Willow St, Mystic, CT 06355 |
| Practice phone | 860-245-0000 |
| Enumerated | January 28, 2006 |
| Last updated | April 28, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 035895 (CT) |
| Dermatology | 207N00000X | MD10187 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.