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DR. DANIELLA DUKE M.D.

>> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1174594279

Individual Registrant:
DR. DANIELLA  DUKE M.D.
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

Contact information for business:
55 WILLOW ST  MYSTIC, CT 06355-2636 US
Tel: 860-245-0000  Fax: 860-245-0610

Registration Information:
NPI: 1174594279
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XAllopathic & Osteopathic Physicians
Dermatology
CT035895
N207N00000XAllopathic & Osteopathic Physicians
Dermatology
RIMD10187

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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