Organization
ADVANCED DERMATOLOGY AND AESTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GOOS M.D. (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
1 CITY HALL PLZ, MELROSE, MA 02176-3149
(781) 662-8881
(781) 662-8886
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 849-7537
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
156364
MA
Other
Enumeration date
12/30/2016
Last updated
01/24/2024
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