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Contact Information

DIANE M DAVIDSON, MD
491 GOLD STAR HWY
SUITE 310
GROTON, CT06340
 Phone: 860-445-8020
 Fax: 860-445-1665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DIANE M DAVIDSON · (Female)

NPI Number 1215908991
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 025536
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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