Organization
NESC LPHO LLC
Active
Parent organization
DERMCARE PHYSICIANS AND SURGEONS LLC
Other names
Northeast Surgery Center LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMCARE PHYSICIANS AND SURGEONS LLC
Authorized official
SAMUEL D GOOS MD (OWNER/MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
154 E CENTRAL ST FL 3, NATICK, MA 01760-3644
(781) 431-0060
(978) 244-2522
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
153438
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79526
MA
207W00000X
Ophthalmology Physician
160016
MA
Other
Enumeration date
02/07/2013
Last updated
10/17/2024
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