Organization
BD & L PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOOS MD (OWNER)
(978) 370-7010
Entity
Organization
Contact information
Practice address
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114
(617) 722-4100
(617) 227-1134
Mailing address
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114
(617) 722-4100
(617) 227-1134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MA
Other
Enumeration date
07/30/2009
Last updated
06/21/2019
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