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Organization

ASSOCIATES IN DERMATOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL D GOOS M.D. (OWNER/MANAGING PARTNER)
(978) 371-7010
Entity
Organization

Contact information

Practice address
40 SPRING ST, WATERTOWN, MA 02472-3474
(617) 923-8433
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
618241
TUFTS
MA
01
CH1872
RAILROAD MEDICARE
MA
01
M17145
BLUE SHIELD GRP #
MA
Enumeration date
01/03/2007
Last updated
10/17/2024
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