Organization
BCPSI PC
Active
Parent organization
ADULT & PEDIATRIC DERMATOLOGY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADULT & PEDIATRIC DERMATOLOGY, P.C.
Authorized official
SAMUEL GOOS MD (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL STE 427, BROOKLINE, MA 02445-7296
(617) 735-8735
(617) 738-9063
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 849-7537
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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