Eastern Connecticut Dermatology PC
NPI 1760604961ActiveOrganization· Specialist· Groton, CT
Specialist in Groton, Connecticut, registered in NPPES in May 2007. The authorized official on file is Diane M. Davidson, M.D., Owner.
Overview
| NPI | 1760604961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Nov 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 025536 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Groton
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