Organization
SOUTH SHORE SKIN SURGEONS, 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
400 WASHINGTON STREET, SUITE 200, BRAINTREE, MA 02184
(781) 380-8150
(781) 380-8160
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
155146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9715771
—
MA
01
—
M17207
GROUP BLUE SHIELD
MA
01
—
M21193
MEDICARE PTAN
MA
Enumeration date
11/28/2006
Last updated
03/06/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up