Individual
DR. DANIELLA DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 WILLOW ST, MYSTIC, CT 06355-2636
(860) 245-0000
(860) 245-0610
Mailing address
55 WILLOW ST, MYSTIC, CT 06355-2636
(860) 245-0000
(860) 245-0610
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
035895
CT
207N00000X
Dermatology Physician
MD10187
RI
Other
Enumeration date
01/28/2006
Last updated
04/28/2011
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