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Organization

DERMATOLOGY CENTER IN THE BERKSHIRES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT L GOFFIN D.O. (PRESIDENT)
(413) 528-5184
Entity
Organization

Contact information

Practice address
780 MAIN ST, SUITE 9, GREAT BARRINGTON, MA 01230-2148
(413) 528-5184
(413) 528-1077
Mailing address
780 MAIN ST, SUITE 9, GREAT BARRINGTON, MA 01230-2148
(413) 528-5184
(413) 528-1077

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2077441
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2062763/9730940
MA
Enumeration date
08/23/2006
Last updated
10/04/2007
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