Organization
PIONEER VALLEY DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D GOOS MD (OWNER/MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
29B COTTAGE ST, AMHERST, MA 01002-1206
(413) 549-7400
(413) 549-7402
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10793
PHCS
MA
01
—
6136
COMMONWEALTH IDEM.
MA
01
—
688686
TUFTS
MA
01
—
M17917
BCBS MA
MA
Enumeration date
09/06/2006
Last updated
04/04/2025
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