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

Organization Specialist · NPI 1760604961

Eastern Connecticut Dermatology PC is a Specialist in Groton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
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

491 Gold Star Hwy Ste 310
Groton, CT 06340-6226
Phone: (860) 445-8020
Fax: (860) 445-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 025536 (CT)

Record details

NPI number1760604961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Davidson — Owner · (860) 445-8020
NPI enumeratedMay 3, 2007
Last updated in NPPESNovember 25, 2013
Mailing address491 Gold Star Hwy, Suite 310, Groton, CT 06340-6226

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