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Coastal Dermatology, P.C. — NPI 1992890362, Mystic, CT | NPI Central

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NPI 1992890362

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Coastal Dermatology, P.C.

NPI 1992890362 · Dermatology Physician · Mystic, CT

Provider details

NPI number: 1992890362
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Daniella Duke, President
License: 035895 (CT)

Practice location

55 Willow Street

Mystic, CT 06355

Phone: (860) 245-0000

Fax: (860) 245-0610

More CT providers

Mailing address

55 Willow Street

Mystic, CT 06355

Registry dates

Enumerated: 2006-10-03
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.