IndividualActive
Diane Davidson, MD
NPI 1215908991 · Dermatology Physician · Groton, CT
Provider details
- NPI number
- 1215908991
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 025536 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
491 Gold Star Hwy
Suite 310
Groton, CT 06340
Phone: (860) 445-8020
Fax: (860) 445-1665
Approximate (ZIP-level) locationGet directions
Mailing address
491 Gold Star Hwy
Groton, CT 06340
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.