Coastal Dermatology, P.C. in Mystic - Dermatology
Coastal Dermatology, P.C. - NPI 1992890362
Coastal Dermatology, P.C. is a Dermatology in Mystic, Connecticut. Coastal Dermatology, P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Coastal Dermatology, P.C. is 1992890362. The last update date is 2020-08-22.
Coastal Dermatology, P.C.'s current location address is 55 Willow Street, Mystic, Connecticut. You can contact this provider via phone number 8602450000 and fax number 8602450610. The mailing address for Coastal Dermatology, P.C. is 55 Willow Street, Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Dermatology, P.C. |
|---|---|
| Address | 55 Willow Street, Mystic, Connecticut |
| Phone Number | 8602450000 |
| Fax Number | 8602450610 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duke Daniella |
| Credentials | M.D. |
| Telephone Number | 8602450000 |
NPI Number Detail
| NPI Number | 1992890362 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 55 Willow Street |
|---|---|
| City | Mystic |
| State | Connecticut (CT) |
| Post Code | 6355 |
| Phone Number | 8602450000 |
| Fax Number | 8602450610 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 35895 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the Coastal Dermatology, P.C.'s unique identification number?
The Coastal Dermatology, P.C. has been assigned the NPI (National Provider Identifier) Number 1992890362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Coastal Dermatology, P.C.'s facilities are geographically located?
The facilities of Coastal Dermatology, P.C. are physically situated at the following location: 55 Willow Street, Mystic, CT, 6355.
What is the Coastal Dermatology, P.C.'s specialty and taxonomy code?
The Coastal Dermatology, P.C.'s specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992890362 to Coastal Dermatology, P.C.?
The Coastal Dermatology, P.C. received its 1992890362 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Coastal Dermatology, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Coastal Dermatology, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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