Organization
APDERM MID SHORE PC
Active
Parent organization
MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
Authorized official
SAMUEL GOOS MD (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE, STONEHAM, MA 02180-3647
(781) 358-8429
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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