NPI 1215908991 · live from the CMS NPI Registry
Diane Meg Davidson, MD
Dermatology in Groton, CT. National Provider Identifier 1215908991, active.
NPI record
| NPI | 1215908991 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 491 Gold Star Hwy, Suite 310, Groton, CT 06340 |
| Practice phone | 860-445-8020 |
| Enumerated | January 30, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 025536 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.