Organization
PV BAY STATE LLC
Active
Other names
Pioneer Valley Dermatology PC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOOS MD (MANAGING PARTNER)
(978) 371-7010
Entity
Organization
Contact information
Practice address
29 COTTAGE ST STE B, AMHERST, MA 01002-2181
(413) 849-7400
(413) 549-7402
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
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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