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

Eastern Connecticut Dermatology PC

Organization Specialist · NPI 1760604961

Eastern Connecticut Dermatology PC provides Specialist services 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 Not confirmed with CMS for 12 years — call before visiting
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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