Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Dermatology, PC

Organization Dermatology Physician · NPI 1992890362

Coastal Dermatology, PC is a Dermatology Physician in Mystic, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 Willow St
Mystic, CT 06355
Phone: (860) 245-0000
Fax: (860) 245-0610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 035895 (CT)

Record details

NPI number1992890362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniella Duke — President · (860) 245-0000
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address55 Willow Street, Mystic, CT 06355

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