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DR. DANIELLA DUKE M.D.
>> Dermatology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1174594279
Individual Registrant:DR. DANIELLA DUKE M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
55 WILLOW ST MYSTIC, CT 06355-2636 US
Tel: 860-245-0000 Fax: 860-245-0610
Tel: 860-245-0000 Fax: 860-245-0610
Contact information for business:
55 WILLOW ST MYSTIC, CT 06355-2636 US
Tel: 860-245-0000 Fax: 860-245-0610
Tel: 860-245-0000 Fax: 860-245-0610
Registration Information:
NPI: 1174594279
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207N00000X | Allopathic & Osteopathic Physicians Dermatology | CT | 035895 |
| N | 207N00000X | Allopathic & Osteopathic Physicians Dermatology | RI | MD10187 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
