Organization
NESC BIDPO LLC
Active
Parent organization
DERMCARE PHYSICIANS & SURGEONS LLC
Other names
Northeast Surgery Center LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMCARE PHYSICIANS & SURGEONS LLC
Authorized official
SAMUEL 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
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
153438
MA
207ND0101X
MOHS-Micrographic Surgery Physician
79526
MA
207W00000X
Ophthalmology Physician
160016
MA
Other
Enumeration date
02/06/2013
Last updated
10/17/2024
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