Organization
MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D GOOS MD (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE STE 3000, STONEHAM, MA 02180-3658
(781) 438-6350
(781) 279-0430
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
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
05/18/2006
Last updated
10/01/2025
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